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,I--- - - - ---- -- — - -- -- ------ -- -- TION ----� <br /> � ELECTRI�AL PERMIT APPLICA I <br /> ICITY OF EVERETT PERMIT �EP.ViCES <br /> I 3200 CEDAR STREET, EVERETT, W'.i 98201 i <br /> 425-257-8610 - Fr�X 425-257 8857 —v,n�tiv everettwa org S�F j —!�-{ � <br /> I! G f u�'s—�/� � <br /> I <br /> I � <br /> i �9� 7 P/sc�c�c ,Ov�n�v� � <br /> �I PROJECTADDRESS � <br /> �f-� #120d �VG2E� 1.�//� /pl-�� "— <br /> II Cw � sXcr�i AL o Coc3y AVr - <br /> �C/'� �� 7 Sta�elZ�p Pnonc I <br /> � Owner h9mi ntlaiess �'�Y <br /> Pa�,F,�Q�E �vE�� �.n ��ol y�s-��risse ! <br /> Ivw�P n Ba►.� a��� s����,z,� vh�,e � <br /> Tenanl � �tai Aay�ess C'ty <br /> Sr�Ns �,x ��� r�,on.�ti6 a� �f«,,.cNowt wn `lo�� �ba-b� i-�i�s �', <br /> II �.,�� Slate2p Fnone ' <br /> EleclncalContrac!or R�adAdoress <br /> I I, <br /> ' S�/.�NS�j 9s'��r^-� ��'"�° <br /> Contrad Pnce of Work � <br /> i State licen5e Number ,n <br /> �Sta��� �•�-K SIGI..f rl J '� <br /> In'GF��G — Contad Person (Pian Reviewl � <br /> Proposeo Use ol Butltl�ng �I <br /> ISquare Poo;age Qf res�deatial new construdion,remodel or adtliUon) ' <br /> I <br /> i <br /> �� Number of tlevices(II low voltaoe) '� <br /> I1N�fALL uNE �/1Gtlt+AY �1u1..�CD �� �t�C�'d�1..rZ _ ��1 <br /> DescnpLan of Work lo Be Oone- <br /> i L£rrr�-S ' <br /> � <br /> ; ____. <br /> FEE I ! <br /> SU�� ' ' <br /> I CITY OF EVERETT LOCAL SALES TA%CODE IS J705 ----- j � <br /> 1 hemby certdy fhaf 1 have read and erarnmed fhis aPP��cahon and tinrnr the same fo b^troe.��d � � <br /> conecf All prowsions olla�es and orUmances yovumnn Rr�; fype o!�•:or1c w�ll be cony�lefeA �I I <br /> whefher spra6e4 h�m�n or noL The granhncy i p �� does nol presume to g�ve authonry fo PERMi fr � <br /> violafe or cancel fhe provisons ol any c'ho/sta or lor,l la�v re9ul,3fing consfmclron or the r 1�"�lr O� <br /> / <br /> peAorrnance n!consWchoa Thaf I a r auih zed b he ownC/0(�hiS pmperty to peA0m7(he C � �I� <br /> Iwo�k!or whic��appGwfion is made nd I c ply � i the Sfale Confrar.fors Law 1B 27 NCW�i�d <br /> :96 200 WAC <br /> I ay ���� <br /> ' Signalure D3Ie <br /> ��r. .�c��a,.: _____I <br />