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OG/05/2015 00. 59 a6833 P 003/003 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVEF+�ETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERETT, WA 98201 � ✓� 5 <br /> 425-257�810 - FAX 425-257-8857–www.everettvra.org —1 <br /> � � 506-� 33 <br /> � C� l `� t�P �->4 �u� �i �z� <br /> PROJECT ADDRESS ��Q' /�,G�� <br /> 7 �/ ' S�/9�'I�1fL ���� / �..� <br /> ���/� �����^� Phono <br /> OwnOr MailAddtMs GO' �tuW?P <br /> MalAtldfo,c CitY SIUWZP Phrnro <br /> Tonanl �� �� ��� <br /> �'c.�x�af� �' �s �Q �ofi 1� �'f'1�� �� <br /> C-loctr�unt Conlf�dor 1Ltil Pddrw.c Gry Statu2p <br /> �C r���-�r s.r/ �ZZ� Ol�� �4 `� <br /> Statn Liconso Number(mquuod) Ciry of Evorotl Business Liwnse Numnnr(roqmrod) <br /> ��� f�v�.{p d� �d� <br /> Proposod Usn W Buiking ConVact Price of W ork <br /> Squn��footagx(If royiaontial nnw consWctio��remMa or nadiCon) Contact Per:�.oNContacl NumhalEmail <br /> Numbor of devia�s(If low voftaga) <br /> DescnpUon of W�rk to Ba Done� <br /> � �J' �Uf� �a� � <br /> -�—`�.�y.'�"` <br /> FEE�Q �. <br /> CfTY OF EVtFtCTT LOCAI-SALES TAX CODE I8 J105 <br /> 1 Aorooy rnrtily thal l7ww�una ond oxnminad lhis+�pyicnlim and knav the snrrw fo b�buo and <br /> ennoet. All provis�ans ol Jaws end adina/tees 9oYaminy viis rypn of work will bn mmple+ted <br /> wheU+nr speci6od hurein a rroL fin,qran6'np ol a pnrmit doxs no1 pmsurtro!o grve au7hruity to pERMrTp <br /> violafe a cnnr.»i mo pro�cions nl ony ofnor stnfo aloca!law rn�ubtirrp conswu+on or the � � �O/_ _ O j� <br /> poAarmonr.e ol constiuclim. 7fuit!nm outharilnd by the awrrxr dNis proporry to p+Aorm Ihe l!J <br /> work!or which o li tion is mndo end I compty wilh tlw SYelu Canbocfors L�w 18.27 RCW nnd <br /> 2D6.200 WAC <br /> � � <br /> Sigrwmro au <br /> �mtm uoa�oi� <br />