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;��.r. 16. 2015 6:42A�d _Sound Securi'ty Ir�c
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<br />EL�CTRICAL PERMIT APPLICATION '��
<br />CITY OF EVERE7T PERMIT SERVICES
<br />3200 CEDAR S7REET, EVEf2ETT, WA 98201
<br />425-257-8810 - FAX 425-257-8857-- www.evereti�va.org
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<br />PROJECT ADDRESS
<br />Ovmcr MailAduress Ciry State2ip �F., �-,_ Phone
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<br />TenOnt tdal!Aodwss C�ty 5131e/Llp.� ���, Pnuce
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<br />EIECt�C�I C:onlryClOf Mail Atltlrzss City � � S�aW�iip -� Phone
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<br />State License Nurnber (rr,quireJ)
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<br />Proposed Use of Huildlnp
<br />Square Fuotage (It residenhal new construction, ternodel or additimi)
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<br />Number of tlevices Q( low voltage)
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<br />Descrip[ion o( Work lo �e Done _._ �, � .
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<br />Cily of C ere,H 3usiness I.Icense �umuer (rcquire� �
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<br />Conir�c! Pfice of Work ,
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<br />Cdnlacl Per on!Conl3ct Numbcr/Fm,iil I
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<br />CI7Y OF EVERETTLOCAL SALES TAX GOD[ IS 3105 ' �/�,nD
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<br />! herchy c2rfily �fh7t 1lryve raad and,exemrned this applicyGon and know fhr. snrrrd-(o be�htie anA ,__
<br />cunecL Afl provision's ollv�vs and ordinsnces govenun'r� this fype u/ wak t��ill Dc r.on�piafeU .. � --� ��
<br />whefher::pecifieJ haipin nrnul.� The�gronNrig ol A pe/mit docs not presume fo givc ai�thrmiy'(o .pER�1IF# �
<br />vinleleo�r„�ncellhe.p�ovis�nqsolNRyolhCrSty�eu7'IOC2118w�cgufrafin,ycOqSfRictionq�fhe � C �
<br />pr.donnancr, nf cons(n�ction lb�(1 am authonzr'd Gy tl�e oWnor of this prope�ry to perlom� flrr. � L� � r',��� j— b� 5
<br />v+ork lor �vhir.h applica(ion is m,3dr enU I compty wi!!� Ihe State Gontmr.tnrx Law 18.27 rCN�nnd . .,__
<br />296.20 VVAC i
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