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- - - -- - •- - -- - - s -- -- <br /> � ELECTRI�AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[EL EVERETT, WA 98207 i <br /> 425-25?-8810 - FAX 425-257-8857 -v+ww everetlwa org <br /> 'I l93/ f�Ovf /�V�� �vP� WA- 9�Z�/ <br /> ' PROJECT ADD ESS <br /> u�`�/6'Y�'� N���G� �M/ TrJr� /�� PDk 3y� �A � S�Pdt°r75 W/T lyd2� `��`�-/9'�60 <br /> Cmr.er tta�ir9aress G��y 5'atr.�Z,c onu-r <br /> � le^an; ',�alAtltlress Gry SlateiLp Phone � <br /> �Wrlvl <br /> t EGIfIGd! COnIfdC10� 1.7aJ AdGress G;y SId1eIZip phC�C <br /> State License Number Cortracl Pnce of Werk I <br /> �J/�7'S�C i't wt, /lX�i (� <br /> � Pronose Use ot 6utdri COn�aCt PerSCn (Plan Review) <br /> /S32 <br /> �, S;.:are 1-oo;age(II res�dential new conslruct�on, remodei or adtlibon) <br /> N��nber al demces��f low voL';iqe I <br /> /��'+r4K j <br /> Drsc c;inn o'tvo•k tc [ie Done �21�4LP ��4n1� �G�l�IOI�'1 C�/ZU,�W�(��+/�f (� _C� � ?� Y�_ <br /> ll �- � • — <br /> /RG! Ki�MYt'1 /l Cf �� C.i�o�� w� � - �(� c wrJ f�r,ru�� �Oi'�l�,Gi� <br /> �•t�.�� ir ✓•��' c��s�LNuc�P✓ I 3 cIYC.� — <br /> � <br /> -- ---, <br /> FEE <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �C (J� <br /> l herChy CBrtdy!ha!1 hevB reaU and R*nnuned llus 7PpLr.alr.;n and knur:!he Sanic(o be fn�B And _ . _� _ <br /> r.pirP[f All proviS�Ons 0�Ia�vs and o�dir,anCeS govemmg this 1}7�e ol u�ork v.di ba compkled -- �� - <br /> �,�hclher speci(ed herem or not I�he grantmg ol a pennd rloes nof presumc fn grvc aufhonty fo PERMITX <br /> �:���Iale or cnncel fhe provis�ons ol eny�ofher sfnte or�ocnl l��w regulaling consfniction or fhe � 1 �O� ) I <br /> ! �;,v/onnance ol conslrucfion Thaf I am aufhonzed by!he owner o!fhrs property fo pedorm fhe - I � <br /> �so�k!or which appl�r,afion is nratle and 1 comply w;fh fhe Sfale Confracfors La�v 78 2717CW and ___ <br /> :96 200 WAC <br /> � , n / 1 � � <br /> W; ia, I �ale <br /> ., r.;' i:�.;�� <br />