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li�s'7J73 . �35 <br />:"sE.,- p r-. .,�,. <br />E�.ECTRICAL PERMIT APPLICATIO[� <br />CITY C�F EVERETT PERMIT SERVICES <br />3200 CEUAR STREET, EVERET-1, WA 98201 <br />�,?5-257 8810 - FAX 425257-8857 — www.everettvs.org <br />��.� ���-r ��. _ <br />PRUJECT ApDRESS <br />�2� I �0 �EdZ, � <br />Owner <br />TC'18�: <br />Ma�.l a�1,tr�s <br />M.wl l�1tlT :s <br />�� <br />�M <br />C=/3�1�1�'S� <br />ii-a���3 Y�S' <br />� �`'�9' <br />_ 9 �zo i �J-S <br />JiJ{O/Zp f'hGf1Q <br />sc„rn�a Fnor� <br />� S�; �� �a �J ,�,U 16'�l _ ��o <br />E,r.ctn:al Con:raCor Ma�i ACCmsa Gty StatrJLp h� <br />i F��'!—�MSS'/� '.%� <br />SL:to Licknsr Numper <br />Fi0 � ot dudtl� <br />Square FooWge (I( resdenpal new cons!�vaion, remoAc� er wdmon) <br />NumDcr uf dCviceE (I! low voltagr) <br />y! ii�/G:�/ <br />—� ���s�r n��Q<� <br />ConlnR Price of Work <br />Ct�mcct Pcrson (Plan Re�aw) <br />Descnpho� of Work lo Be Donu �.�r���. � L/7 L�%� ��� �U !� C��[ �`� <br />��.Fo l�S' �_r1�Q�/ — i2�Z � Vb' 'E�' ��`"-�—��'�.-!/�<l�-/� <br />� -- ------- <br />CITY OF EV�ERETI� LOCAL SALES 7AX CODE IS J105 <br />1 hemDy rc,nly that ! h.rvo nrad �nd uxamrruid UYS epplrCaDon AnAknow MC Same to 00 (n�o antl <br />connd. All provi:�oru o(Isws emf urUuinnas pnvnminp Uus rypo M wvrk w�U Ao alrnp,btcd <br />who(hoi sp�c�hrJ Iretein or nW The prUn6np o/ a pnmu! dor3s rrol prosunw fo fyvu aulhunry to <br />vidxte ur cnnccl f�e prows�ons ol.vry o1Mv sWte or IacAI law mpu/a0np ransfi,rn�n or Mc <br />p��Aorm,�ncu N ronsfircGon. Thuf I�irn �utNnriznd by Mo ownor of lhis propyrty to pn�lrnn Uie <br />. work la whrch oppl;cn6nn rs madn and I cnmpty w41i thn Stnfe ConUact�r:s Inw 78 27 RCW arttl <br />�J6.200 WACr <br />���- // �r <br />� S�gnawic to <br />��i � �� �� �� <br />� w,rsev3ro7� <br />rE[ ._ _ _ � � <br />— - o-c— I <br />�� <br />�PERMiTB <br />E � � �- <br />_ _ I l I_- I u <br />