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T�� ���ye� S ol t . . <br />� <br />�o,...o,.z, �-� _,. o., ��M„ <br />� <br />, ,>.., rA , .o.., � �.,� .,,.�,. <br />. ELECTlZICAL PERIVIIT 64FPi�iCAi�ON <br />CITY OF EVERETT PERIVIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 S`Og`If, <br />425-257-8810 - FAX 425-257-6857 —www.everettWa.org r <br />. _ -. C—ly l U bs-ZY� Z <br />Z .�2- L (J�'i��;;�� f�'� �� <br />PROJECTADDRESS <br />�;-: -r v s�si �[ S <br />ZUG• yY�S��/j <br />OWO¢t Mail Addres5 City SlalclZip Phone <br />� 7 _5 'L 7 �i`r�: �v� Ii✓;✓ �j� C'��;ZZ% �,Yi�u/ GC�:�? <br />Tenant Mnll Address C�y � Si,ic2�p Pho�e <br />lt�ia�Gl�c�r,� 'i � �� 7`! (�".; frFi�s �;,;� S�X'zj"L ;3s0 �� /�� �// <br />Ele Irical Cont�actor � Meil ACdress City � State7Z�p Phone , <br />�c,'u� 7e -� � i� P,� \ ����"� �3600� 60 <br />Stat Llcense Number . Cantract Price oi Work 2�� �� d <br />�. � . . . , r Y 5�.5� <br />Proposed Use of Bw��m� Contact Person (Plan Review) <br />SGuare Footage pf residenliat new conslc�ction, iemoqel or addition) , <br />Number ol devices (It low voltagc) <br />Descdptlon of Work lo Be Done. ��� T"r"" � n�� ��r �e kiS �.%r y C��('G: � c�� l di,.p � 5 li�7 /'7� <br />l.0 � Q <br />r-ee — <br />CIIY OF EVFRETT LOCAL SALES TA% CODE IS 3105 . . . ��� •� D I <br />I hc�ehy r.r.nily fh, f! nave rcad and examinad (his appflcat/m� and knowlno samo to Ao truo anU <br />conect. All piav�slons ollaws and oidinances yovr,ming (hIs type o/ ��o�k wil! be completed <br />whother spucdietl horoin or noL 7hc granling ol o pemiif docs nof presume fo �ive aufbonty In PERMTfI! <br />oiolale or ranr.e!!he pravlsior�s oI any othersfa(e or locallew re9ulahng construcLon orthe ��' ��_ oO� <br />purformanc�a ol conslruclioa That I arr� aufhonzr.d by fhn nwncar of Ihie proporty fo poAorm !he <br />wod: /or �vliich � 1" a(ion is modo nnU 1 comply �wth thn Sfnro Cnnlmclw.s Lnw 71i.27 RCINand <br />29G200W iJ � �-)_ - — <br />n; r�srn.::m�i <br />� <br />