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„ � _ .. � ._ . �, <br /> �- <br /> - - �., -- - —�--. _ ----- <br /> i ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PE��MIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 �, <br /> 425-257-8810 - PAX A25-257-r�657 —v,nr+w evereriwa.org <br /> i <br /> �I� L �, / / �I' <br /> , �z _� � ���� <br /> PROJECIADDRESS � <br /> I I <br /> C � C� ���( !7 — ��Ily St3:u21� � Pncrp I <br /> L1LLL_L- <br /> � Owner ldwJAAdicss � <br /> " � �r � �eho,u .�ti 1��9�'� � z�3 ���'� � <br /> ��1 ��kl.�__1U ,7� ?ho^e <br /> � !.1�ilACCfJ6� C��.IY SW�r.(.?�;. `��^ <br /> I TenaM � S � <br /> ,�- C <br /> � {`�1�� ti .S' x ��� f�LC��� ����1��- <br /> C- eclr.cal Contra�:or ldaJ Adtlre55 <br /> cdy Smtar7m Prone <br /> �.1'—a�� �� � Cantrecl Pnce o(V�!ork ' <br /> Sla;e License Numher <br /> i �y—/� ___ - -- <br /> i � <br /> Proposec Usn �'Gwitling Contact Person (Pldn Rcview) , <br /> I <br /> Squaro Footage(If resideMial new cons(ruclion, ramcdel or adoilion) <br /> i <br /> Ij Number of tlrvices Qt iow voltngo) <br /> � Descriplion ol VVoik to Bc Oone�. ��/L� U I���<✓L�-�_—��1-f-Sa��-- --- � <br /> I �f��--� -�-��el!'�U/��� - - -- I <br /> — ----- - - _ . --- - -- ; <br /> FEE �y <br /> qTY OF EVERFTT LOCAI SALES TAX coDE IS 3105 �� <br /> I hn�oDy cartily thOf I h�vu�vAd ond oxanvn�d lhis nppllcatlon und know thc samo fo Uo frun and <br /> I r.orrecL Alf provlslons ollaw5 nnd nN�nenc�s�ovomrng fhis Jypo ol work wil!bn conrpfofed f --� -- ---� <br /> � u�hether spocrlmd herein o�not. Ihe yrnntinp ol a permif doos nof prvsumo to g�ve authoaty ro I PERMiT�i <br /> � :dofofo or canccl thc provisions ol ony ofher staiu of lor.nl I�w ro9ulafing conslNcLon a thv I <br /> IpoAonnancn consliur,tion. That I am aufhontetl by t�o o�vner ol this pmperty fo pr�dOmt!hn E l 30 `1 - I l�� <br /> � t v o N t(o r�v h i” opp l i c u t i o n i s m o d e n n d 1 c u n p l y�r l f h t h o S(e t e C o n t�a c f o rs L a�v 7 B.27 RCW ar,d _ __ <br /> 296200 C <br /> T �� � <br /> - siqna�uro ---f- -- y y- <br /> y/ I <br /> / I q,r;.S:01^.u+J .. _ . <br /> � _ _�__ ___— _—_ _ _. __ __'_�"___ _�. <br />