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-- - --- - - <br /> -- ---- - - — ---�, <br /> i_._- � <br /> ELECI'�ICAL PERMIT APPLIC/�T'10�! <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STR[GT, C-V[R[TT, WA 98201 -7 t � 3 <br /> 42`-257-881 C - FAX 425-257•8857 -wv.w.everettwa org / `/ �` <br /> '' G1 �7 `�b/ , <br /> � � . I <br /> j .� ai'1 //,c (vr fL <br /> � PROJECT ADDRESS <br /> �� <br /> , �� � ,,,,� FeFs, ��.���ix:l�V z5'i � U,r�uir'L ���� c� �v,� �i,�'lor - <br /> � <br /> � OWner �dailAdOress Gity �IaleiZ�o Pho�a <br /> Tendnl 6ad AuJrcas Ci�y 5(ale2ip Phu'�e I <br /> � l/-� u77 (=1<'c �E;��c i'�i7( Z2�{r�' l�C, l(.��- G�u:i�l��z�r c " '- <br /> Gc�i� i?f2i2- fY2S�7o St("�- �I <br /> E�oc ncal ConUaclor L1a�l Aedross City Slatc2iF Phunu <br /> � -� i �, -. �'v <br /> I� � �rGf �I � ( Cf �� �J ._�U��'' ___._ _ __._ <br /> � Slatu lRense Nwnbar Centract Pnce of Work <br /> ' Proposed Use of Bwlding Cwtart persnn (Plao Reviewl <br /> i Syuant Footage Qf resldential new construtl�o^,iemodel o�addi(ion) I <br /> i <br /> INumbcr af devices(If low volloge) <br /> I Descnplion o1lNark to 6c Done: .0.rV'L {' C �7�r�,+q r- - /•� S �!•�� —� :"1 r� �- �,':�` ". r�___ <br /> i <br /> — _____ ___ -- I <br /> FEE I <br /> I <br /> CITY OF EVERETT IOCAI SALES TAX COOE IS J105 �C� v� <br /> I here6p Certrty thit 1 havc mad and ezaminotl this applicahon ond know Ihe same to br, truc and <br /> cnrmr.f. .411 pmvi.cinns of I.aws and ortlinances�ovrmmp this rype of wodc w+ll be complelr.d <br /> whether spec•rfed horo+n or not. ih,o gr�nflny o/a pemrif does nof pmsume fn 9ive aulfrority lo PERMRk <br /> viala(v orcancel fhe provisrons oluny other sfafe orinr.af la�v n�guleFrrg consWcfron orlhe � """ ��/ <br /> pndeimanco dconsWction. That;am auG7on¢ad by tho ownerolfhis propeRy lo pedonn fhe I 3��].� O�r-� <br /> «orfi for�rhich applicalion is maJc and 1 comply�r�lh Ihc Sf�fo Conl.�cto�Low 18.:I:.CW nnd � � <br /> 296.200 N�AC. <br /> !��i .� I <br /> �l;'''<!���-> "�r--i— -- �C� -� � <br /> SignalurE - Dalc <br /> v <br /> ai�ic[n;:n+� <br />