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ELECTRICAL PERMIT APpL,lCATION <br />�ITY OF EVERETT pERMIT SERViCES <br />3200 CEDAR STREEf, EV�� wk y6201 <br />425-257-8810 - Fft?C 425-257-88$7 — wwu�,_�_ag <br />— �I � 'J -� �'�'���' i �1�v`� �� � �`T ��j <br />PROJECTADDRESS <br />; l r., i d o 5::. i..= rYLll �..; � <br />Scc.+-;-�r(�u-�-� • S.;.t� lUv {_ua"-e,Yr <br />G*.ener raaa a,wn�s <br />�r <br />i renant <br />�2: f�lt�.' ��ec.l-r�i'rr� <br />oeca;c3i r.ennaao� <br />��, ��� ; c� 3 c� �J.L <br />57�te I.icense Numbcr <br />?.�cosetl Use cf �ui7tlmg <br />Ma�f aedres� <br />MJIf p�. e� <br />I�� ��p�F �F �id�Eaf r�v caishtetl+on, rernakel w ackfitio�) <br />Nu mber of tlevices (1f toJ� voltage) <br />Desuiptinn of Werk to Be ponc �� 11'1 ��l � <br />CITY OF EVERETT LOCAL SAL[S TAX CODE IS 77D5 <br />C�ry <br />Gt�' <br />v r- qFfn y <br />ss�sorap <br />sia;�o <br />��a€a <br />�«n <br />CorttraG Pric� uf Work <br />u�i_ 95�.j-�[:� <br />Pha�n. <br />P++cnc <br />-► 3>753�� <br />f-las <br />Ccntact Person (Pizn Revieu•) <br />! h�rrBy ce7ily It;at 1 haw n:ad and rxemmrd tl�7s applicatlon and Www tlre same fn Ge Gue artd <br />comn7. FlI! pmv£dons oll:ws arrJ oMTar�ccs �}ovsntirrg L�is (ypc o/ Kvrk wd1 tu+ mrnpfated <br />wheBmsspe�cd harcrrt or noG �the grart7mG o!a permrt does r�tpresume fi yvve aufharrty M <br />vidute or cance!!he p�vvis�bn,^ of�nyWhers(ate orlocaflaw reyrdafing mnstrvction orllu: <br />p^rlormancc oJ avrs7n�d/on. Tfia( I arr� a�?hCn:.ed by the owner of this pmpmiy to peAorm the <br />wort; for whrch appfcaticn is mnde ard ( compty• with tho Stnte Con�raUors Law 78.D RCW and <br />�95 xln �r <br />mr.,mr.,rr� <br />r� <br />; �� �hLLLEE��<,: <br />�rl � � ''� <br />FEE <br />-- 5�� <br />PERPIIT# <br />E�yO�_-o73 <br />^��I�1�7-�"I� ������J �'L9 Ul bl l l doS <br />