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_ '�C'li C1 Ca <br />AEb':1�:, : V�il/))' <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STREET, EVER[TT, WA 98201 <br />A25-257-e[S10 - FAX 425-257�857 - www.everettwa.org <br />�2 q r � � ���u,��� � �t., <br />PROJECT A�DRESS <br />n <br />Ownor <br />Tenanl M+�I nddrw,c <br />EJectriG7lCOntfddor MailMAross <br />�i�-�rr� yu� <br />Statr. UcenSC NumbBf (fequir0d) <br />�� <br />Proposod Usr. of F3uiltlinp <br />Squart+ Footayu (II rositlontiol now conswction, ramotloi or uaaiuon) <br />Numher of aovicos (If low voltagn) <br />Gy <br />Ciry <br />Clly <br />Doscnptio� of Work to Be Dono: /���1� ,� �� <br />��' G/. —. <br />CITY OF EYEREI'T LOCAL SALES TAX CODE IS 3105 <br />.�� o i�.� l %2 <br />Sletc/Lp Pnone <br />SI:u1rILP /�G�G 1��^��/ <br />//�%/� � 1J / ��� <br />Stato2ip Phono <br />�/ [�._� <br />Ciry of Ewrotl Businnss �cense Number (mquired) <br />ConlrAct Prico of Work <br />Contact PersoNContact NumbedGmail <br />1 heruny cr�tl;ly that 1 navo road and oxaminod Ihis appLcafion and know fhe snme fn be tnm and <br />carroct. al provisions o!lanc ond nMinaruns gnvnmin� lhis typn d work will bu mmplxfnd <br />whofhor spoe,fiod huroin or nal. Thu granfiny a/ti pemuf �h>es not prxsume fo �ive xuU+ority fo <br />wolnlo ar c�+ncel fho pmvi�ions ol any othor stafo o� loca!!aw regulahng cnnbnichnn or th� <br />pe�lommna� ol consUucfion. 7hxf / am auuuvund 6y tAn owr�r ol fhrs pmporty fo Mi�lort» rho <br />wr.B /o� wh� ppliCation is mado and I comply wi(h Ne SWfx ConharJnrs Lew 111.27 HCW and <br />296.200 . /' / <br />4L11:F1J03C6:Jla <br />��y �� �b <br />¢p <br />PERMIT�i <br />E ��Ja�J` ��'� <br />