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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everattwa gov <br />l��o l� N�9 Y� C3a,� I ll�� L..A ��� <br />PROJECTApDRESS <br />Ten:fnl <br />Eiectncal Contraclor <br />Ma,l Arthr.�cs <br />Med MAross <br />Mqil Aq�rNct <br />� �-!� sl'/yZ L /� <br />S�ate Li�ansA Numbnr �r»qwroA) <br />ProPosetl Use of Builtling <br />S�l"a�7 Foolage Qf resitlential new construclioq remoqel or �datlion) <br />Number of Aqv�cos (Il low vollaqoj <br />Dnscnpuon ol Work to 8d Donn <br />--___ � _r�ut� <br />Cny <br />Gry <br />Crt� <br />n I � � __ F,��i� _ _F_��c. <br />� isio -�07 <br />lo�r4�rs <br />y LI' <br />�, � �5�,..y� <br />s�r�«rz�� <br />S�aiu2p <br />sir�erz�n <br />\� <br />Pnone <br />Gtyof�e.���� nseNumbe�lrequ�rt�al <br />— �?so SG l�o(c.� l, <br />Conlrer.l Pnce N Work _� <br />� <br />��IJG !e.r �l Y�r,�3�12� <br />Contaq PersoN bnt��j Number![m�d �-- � <br />_�osr L�V�,c,G�--17�a _ , <br />�,-- <br />�/', ,� . , , .� 111 � <br />CfTV OF EVERETT LOCAL SALES 7A% CODE IS Jf OS <br />I hert+Ay r.arirly lhnt / �noe rH;�r/ nrr0 nr.vnrroid fh�s npphr.nlmn emrl know fhn semn fo �n lnio nnrf <br />��r��:l A/l pmv�s¢ins o/ /nws en�l orzlmnncys qoynm�ng lhis IYpy ol woM wrll bq cnmp/xlerl <br />whef�pr spep�� Aemrn or noL fhn qrnn6ng ol,i pnrmrt does not prasvme fo qrvd eu7honty (o <br />vinle(e nr r.encel (Ae prpws�ons o! yny nfh�r sfnlA or locnl Inw rtpulnOng �pnsGuchon o� flrp <br />lN+dnmwnce o/ conslnicbnn !An( I tnn auffronrnrl Dy fAe nwnxr nl thrs prn��yrty fo pnAmm lfrn <br />�� �O� �'�� aplN�cnhon is medn nntl I compty wilh fDq Sfole Confrndors Law tA 27 HCW nntl <br />296. 700 WAC � <br />/v <br />rr� — -- --- — <br />��a o0 <br />PERMITa -- -- <br />E �5I0 " �_�Z� <br />