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osiit/2otc ot o� xn3sr, �� oo�/ooi <br /> � 1 <br /> I <br /> ELECTRICAL PERiVI1T APPLICA►TION <br /> CITY OF EVERET'r PERMIT SERVIC:E� <br /> I 3200 CEDAR STREE7, EVERETT, WA 98201 <br /> 425-25�-8810 - FAX 425-257-8857—�+�.everettwa.org I <br /> 3f�� I <br /> o� �?3'i F F�Y�.,ro a.( /`�l �.>-� I <br /> PROJECT ADDRESS ��/ / I <br /> �z r/��—_ cpc. i <br /> � t, ��� h ��— I�hane I <br /> C�, StnlafLp <br /> Owf7of Moil AdGrCr.E � <br /> ��, Sta�efCiP Phone I <br /> I Tenant Mail Addre�s <br /> I �. . . . �— ��k l�r`�`tT c� 9��'�1 Y�1' �% 21� <br /> f � Cih� StatefLp Phon <br /> Elechical Conh��.or Mail Address <br /> C.- ���U J � / G.i� — Contract PriGe of NJork <br /> Slate l.icense Number <br /> [ Conbd Person (Pian Review) <br /> Proposed Use of E3uildmg <br /> I <br /> I <br /> Squarc Footage pf residernial new construcf�on, remoA�l or additicn) <br /> Number o(devices(If low voltage) <br /> �escnption of WorK to Be Done: <br /> GF� I �.� wrn� c�n� � ,�1r - ��A�_- <br /> � r� G� ����� � In.�q�� � �p�,t� sPu��- <br /> FEE �� 0� <br /> ICITY OF EVERETT LOCAL SALES TAX COOE IS 3�05 <br /> !hnreDy ceRAy tlrnt I havo road dnd oxaminod this applicaGon and know thv snnm to De trvo and <br /> correcL A!I prov�sions n!laws and ordinnnces gowminp fhis typn ol work will De romp7nted <br /> wholher spo�ed heroin or not iha granling ot u portnrt doos not prosumo(o(uva authanty fo PERMITB <br /> vi�laleorr,ancelthoprovrsionso/anyothd�sfatoo�lncall8wrogulafing�P�cfio�rlhn � � ��� _n � � <br /> pedomiancc ol construction Thdf 1 em aufAortzod A Ihe ownar of fhis ro o to Aann tho <br /> wortc!or which n li tion is madn and 1 compty w�tli No SYr�tO Contrt�dors Lew 1H.27 RCW and I <br /> 29B.200 WAC. <br /> � <br /> natum � <br /> o vtona _� <br /> --� <br />