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o�i2ii2oia zs s� :�a���. F c _ , ;oc, <br /> — � __—_--� –�, <br /> �---� � <br /> � <br /> I ELECTRiCAL PERMIT APPLI�ATlON , <br /> ERMIT SERVICES <br /> CITY OF EVERETT P I <br /> I 3200 CEDA12 STREET, EVER[TT, WA 982p1 I <br /> 425-257-8810 - PAXA25-257-8857 —v✓vrN��e�etlwa.ofg <br /> I � <br /> � `�.Z�� �< ��-�-�_��� <br /> PROJECT ADDRESS I <br /> �JS_.L—���" - State2la Pnone <br /> Ownef �duil Addre,s C��y � <br /> T,7 ! � � N�t'A r�'�,c�.t s�!'.�� tehc,�ic� ���e 9��3 ��'�'0 <br /> Jy-qA.} �,,� SW!e2ip Phone <br /> Tandnt IdOdAdtlra&s Y ^ I <br /> � �, � K �1��� �/�h�'�.�,�'� 9•�0� �sP' y`� � <br /> J ICity SmI9lZ�p P�one <br /> E eclrical CoMractof tdall Ad�ie,. � <br /> � �'L�Q�L(CJ'/ �'1 � - - <br /> I §tate License Number Contract Price of Work <br /> Propos���iltling Contact PCfson (Plan Roviev+) � <br /> iSquaro Footage pf residenUal ncw construcuon, remotlel or addition) i <br /> � <br /> � <br /> INumbcr of davices(,f low vollnBo) � <br /> I Description of Woik to Bo Done: ����U � � �� __�__-�i��LS�_ . _ <br /> 1�Cll.� �"�-�� L/�i�'�'',s�� __ <br /> - — ---------- Y FEE �� -- _� I <br /> CITY OF EYERETT LOCAL SALES TAX CODE IS 3105 �� � I <br /> I horoby certi(y thpt 1 havo rnud pnd oxamir,od this appllcat/un ond know fhc snmo(o De frud und <br /> eormcL All prov/slons ollaws Ond orclinences povominp this type o1 work will Gu complofed -- i <br /> whethc�spocifiod Oe�ein ornoL Tha granti�p ol e peimit does not presume fo givo aulhortty to PERMTT� <br /> vloloto or cance!the provisions ol ony otAorsfef�or locallavi rogu/aG�ng canstruction or fhe I --, I <br /> porlormance conytrucfron. That 1 om aulhonzed Dy fhe owner o/fhis proporty eo podorm fha E i �� � - ��o� <br /> woB 7or vihi epplicafion is motic nnd I comply wlth tho Sl�te Contr+�ctvrs Law 1 B.27 RCW and ._ <br /> 296.700 C <br /> LJ <br /> Signaturo d tl <br /> arviseo v1a+� <br />