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• <br />C� <br />ELECTRI�A� PERMiT' p►F'��9�A�'V�h� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STRF6T, EVGREI T, VVA 987_01 <br />425-257-8810 - PAX 425-257-8857 - �.v�.^nv.everettwa org <br />Cic� I Z N�tiv� 51— ___ <br />PROJECT ADDRESS <br />I T� <br />� Ovmer <br />Tenanl <br />iJadACdress <br />1.'ad�,Cdress <br />Gry <br />GIy <br />Stale/Lp <br />SIatMZm <br />PhonC <br />P�one <br />�b'C--�u� St-�%�p�t�t� �3��3ati3��vv,Ksrsw i,,�„a,,.....�o �,�.A-`�3� �����sg <br />[IedricalConvactor 41adACtlress G�y S�ate2p Phone <br />�-�- s� 9 z4 S6 <br />Slate L�cense Numbcr <br />Proposed Use of �wlding <br />Square Footage Qf res�dential neci conslruction, remodel or addit�on) <br />Number of devices (It lo�v vollagc) <br />ConVact Price of bVork <br />Contact Person (Plan Revre�v) <br />Dzsu�ption of lnJork to [3c Done �^�'S' h_��— 'vicw 7�"' �`wQ df'�'� ff_�J J a5i/t�LL_ <br />N f�n�Sc3��4tir t...t1t�7. ��,�-11�� l �.z'-Ctit-r 5.,..�-r-c-rt <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 he�ehy ceiLly fhat I ha��e read and eramined Ihis applica(inn and knov� the same (o be 6ue and <br />cerrect. All prov�sicns o/la�vs and ordinances goveming fhis type o( �vork will be cempleled <br />�vhefherspeci/ied heiein ornot. The granlingo/a perrnit daes not presume to give aulhonly (o <br />violate orcancel the provisions olany othersfate orlocallawregulaGnq conshuc(ion orthe <br />perloimance ol consfmction. Tha(1 am aulhonzed by fhe o�ti�ner ol this propeRy !o peAorm the <br />r.ork lor ��hicir a plication is rnad � 1 compty rrith Ihe Stafe Confratlo�s Lav 18 27 RCW and <br />1�C <br />-L -- .S "2�- , � <br />� Signatur �ate <br />� e�. 7z6! i <br />D`454-�'�dwi i <br />FEE <br />So� <br />PER�1CTr <br />E i�o5 - i 33 <br />