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. , __ ._ --- . _ _ . <br /> — -- - - . .. . � -- -. . • -- ---� <br /> ELECTRICl�L PERMIT APPLICATION ' <br /> I CIN OF EVERETT PERMIT S�RVlCE$ <br /> 3200 CEUAR STREET, FVFRE-i�, WA 98201 <br /> ' 425-257-8810 - FAX 4'15-257-5857 -arvn�� ev=remva org � <br /> i <br /> i I <br /> i <br /> � _i y31 I���-�- � ve P���— I <br /> ; <br /> PROJECT ApDRFSS <br /> �t/� �a m /u ,C ���% f1 oy� �r� C r/�/'eil' Wq q�z�i yis-Z.sL-3svsi <br /> �--- -� � <br /> .v;cr,r 1.1allAtldm.s. C�ry State20 Fhcnc � <br /> Teoant W31l�dtlrC6. ��) S:ate.i p Phone i <br /> ' Ik�nnels�� e(e��, � r35_ �/ ���-c � Arl;��., _w���2z� ���-v�.�S�ZE �i <br /> -;1�p pnane <br /> Eb:qnp�l COn,f3ctOf �de�l AdC�zss C��1 �.°.- <br /> �'. (Nr��C't'�`J�1�1 PZ ��, c� . <br /> � State License Numter Cnnfrr,�t Fr.rc �f7:,-,iY. � <br /> � �7��.fe <br /> ' P��poscd Usc ot 6uiitlmg ' Canlact Ferscn ;!'lan New�w) <br /> I <br /> ' Squara Footage(If residenii�l new wnstrudion, remodel or add�tion) � <br /> II Numbcr u(devicas Q(low vol!age) �i <br /> �/�' ' v <br /> � Cescription ot Woik to P,c Done. NCG✓, C.i �C(it� 1� T��' __ i�E�^1� <br /> �� ._...�_� � <br /> � <br /> -- - — — �'-' , <br /> � — -- — - I <br /> � I <br /> �� FEE <br /> CIIY OF EVERETT LOCAL SAL[S TAX CODE IS 3105 ,^oOO <br /> I J I <br /> . I hereDy cedily that I hsve msd and examined fhis applicotron and Mav the sarne to be Wn antl ______�_ <br /> co�,rcr. nu nrov��,o�s el le�vs nntl orrlinsnees govemin,ry fhrs rype o1�rork�vill bo tornplefed <br /> �� :ahMher speciTed hene�n ornct Thr, gr�nLng of e pe�nuf does ncl presuma to grvo autlronN to P[RPi1T# � � <br /> � vio�ateorcanceltheprw�slonsolenyothr.r^tale�erlocallawmgulatingconsfrtichono�tho � I �0 � , f � � <br /> per�rrnance ol construcfron. That 1 am authonzetl by tho oK�ne�e(fhrs proF=rty tv padonn tha � I <br /> work lor v;nrch app�ic � maye and!cornpJy n�r(h fne S7ato Con!rac7ors Lsw�327 RCW and '� . _ _. _ � I <br /> 296.2L'0 WqC. <br /> , <br /> ' ----_ ��Zs��.�.^- _ ' <br /> I - Signatunr - . . . � ': . . Uam . . . . . ._ _ _ . . _ .. ; <br /> - � - .. . . _.__ . . ..._.. _ __ _ . .. . . _ . _ ' . i <br /> i <br /> .:�� ._.`3'.:`.J I <br /> —_ "' . _ _ .— ."_ —""—__'—___J <br />