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ELECTRICAL PERMIT APPLICATION <br /> � CITY OF �VERETT PERMIT SERVICES <br /> 3200 CCDAR STR[E7, [VERETi, �A�A 98201 <br /> 425-257-8810 - FAX 4?5-257-et357 - t+nvw.everethva.or�7 <br /> I E I S o9 -�1� <br /> ��D�I l� 17 c-. S� ��.v�xe--�.�1�3� �t,�?�3 q ..3.0-,s <br /> PROJEC7 ADURESS <br /> C��_ ' � �,�ls�-�cs�. �_��o�`t-� _ 1,�1}� �7�—_�5�4 � <br /> O��;ne7f �la�.�Add�asF C�,y Stata2�p Phcnc <br /> enan[ T� 67allAdtl4^GS C�ty SlP�elZp Fhonc <br /> ' �F�e_z�'u_;�a-�e,n�-�c�� ��.c�1._ �'��___ , <br /> i CloclncalConlractor —na!eiiAddress C'ry S;ate.4lo ��Ir' <br /> �a I <br /> �__D� �L.G€x38CSS ���i��Fi_ � <br /> St2;e Liconso Number require� �dy o(8 elt Eucinasc Ll�nse NurnCtr(required) � <br /> � SF2 ���5� — <br /> Fropased Use o�ul!d�np Contraet Pneo ef 1Vork <br /> ������-����_ <br /> Square Foola{;e(H resldential ne:v conslructlon,remcdel cr nddiUonl Con;a�t Porecr�Cuntacl N mbedEmail <br /> ������. <br /> NumUar ul Aavfcee(II bw volta�,c1 <br /> Dascnption of bVork fo L+e Done: ��_S��i._����,,��--�p ,^ ,��- i� f <br /> — � <br /> F�E -- --- <br /> CITY OF EVERETT LOCAL SALES TAX COD[ IS �105 �O �G <br /> I hernLy cerG'ry�hal/heve mad and exnmined fhis opplicafion and knon•(ho same to be true ar,d <br /> currocL Alf provisions ol fa�rs ard ordlnenees�oreming fhis h�pe uf r:ork wil!ae cumpleted � - <br /> whefhr�specirrcd hvrvrn or not. Tho y,-an7mg o!a pennit does net presumc fo yivu authonry to PfcRMil fi <br /> rrolaro or cnncel thc prvvisions of any o1Fer sfate or focal la:v ropulafinn cons:rt�cBen or fhe � <br /> perfom�ar,ceolr.oiuhuction. Thotlamuuthoiizedbyfheownero(th�svro�o,ryropeKon,�rn� '�O�_ �I � <br /> :tiork for�rhich a�pl'cstlon Is mndc nnd I comFly�:ith Iho Sfate Cvnfradors Law t827 RCl4�nnd <br /> 295.?.CO 14410. -- <br /> � SI n1� � ��� Dat I <br /> C <br /> (LR'r5.'DOses:cra .._-- --�I <br /> � <br />