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To:25f8:�57 Faae:� 2 <br />R��li-�l'G[11.J 13f:C4 FfGm1 � <br />E�ECTRICAL �ERMIT .'�PPLICATION <br />CITY OF EVERE'fT PERMI�f SERVICES <br />3200 C[DAR STR�ET, EVERETT, WA 58201 <br />425-257-8B1U - FAX 425-25'1-8857 —w�rrvr everetlwa.oro <br />' _ �a S �� y�l/�r�. r�e._`li� �'i v�. <br />; <br />pROJGCT ApDRESS <br />O�,vnC///r � ldail AddrO?9 City <br />� �A.C1�,—�=--....._ <br />�cn.�nt ( D:tylAdAres, ���)' <br />_ ,� (�1��-L�----��(.l.,t-/tst uCl��L�- ` r�-- � <br />Ftech��e2lConlrae�or Mail�ddre;s C��Y <br />S��N I ��'i'--� 9�1� � 7 <br />;k •' �cen�e N�.imber <br />F'ro�tl Usc ol Building � <br />Syi:;ue Foot:�yu (II residernial new conshuction, remodel or addition) <br />1! / <br />r;,iroGer ct clevir.es (L v vullage) <br />! L`esr.uptian o1 Work io fitl Dontl' 1��_yy I��5. <br />. . —... .._�_'_' I <br />0 <br />�I CITY OF EVERET7 IOCAL SALES Tl1X CpIJE IS 3105 <br />Statc/zip � / 9� I Pncnn <br />�..� (/ <br />Slale�L�p LL'I,�Phone <br />1 '-t <br />� `� ZU Z �5� <br />c�H��.�){� f'hOf1C <br />�' � c � ��� <br />Cuntracl Price of lVoi k _ . � <br />CcMact Per,on (F�an Revie�v) <br />1 nereby cenrly Ihat / hnve r�ead antl exemined IhiS oppEcation and know the serne lo be fruc and <br />cu« ecL AN pruv�siony ol luw� end ordiriuncey goveming this typa n/ tt�orA will be contpleled <br />::.'icl.'u,�r;pccified hcrcin or no1 The granting o� a permd does not presumo fo givr� authonly to <br />�: �olste o� cance/ fhe provislons of any other sfate orlocal lavi mgula;in,q ronsWcriun or rlie <br />;; �r;ormanr.e o/%nnstrur.linn. Thof I om aulhonzeAAy fhe o�'+n9rof tl�is (ropcRylo peAumi thc <br />,.crk IOr which eiI?Plir,ahon is ntade and I compry wi(h the Stafc Con;r�c!ors Law 78.2? RCW a�id <br />:196:OQN�Iy+C , �'— n / <br />d_ e <br />EE _..--- i <br />lj (') . (') [`� <br />�eRntrru <br />� � '�, C; F " �� '� � <br />