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� � <br /> ELECTRI�/�L PERMiT AF�PLBCA�'VOi� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -wv,rw.everellwa.org J�" —�-8 `�� <br /> C— IUc�s -1 <br /> I � I � W-Q'�r�,r�,__ ��(r G'� l �a-O � <br /> PROJECT ADDRESS <br /> C'U�.J ��e.n.���� � Sk✓Y�� 45 4ba..cL. <br /> Owner � P.1atlAddress City Slale/Zip Phone <br /> 54rn� A 5 0� �e � <br /> Tenant Mail�ddress Cily State/Zip Phone <br /> �GIJGtPrt' <br /> ElecLical Coniractor h�1a�lAddress C�ry Slatel7_ip Phone <br /> Slatc Licen;e Numbcr Conlract Pnce ol Woik <br /> Proposed Use ol�uilding Contact Person (Plan Revie�v) <br /> Square Foolage(I(residential new conslruction,remodel or addilion) <br /> Number ol devices (If low vollage) <br /> Uescnplion of Work to �e Done�. �E�� . <br /> S��+ ` 1 I I 1 <br /> � . ' rpvnd i..�o�-� �_Lf_�_� _ �lim llo� S � � S_1'�o� _`'� p�T' �_.'d� ^c�..._ <br /> t� <br /> r <br /> -�������_�Q��+---�_L�. -s�l �-�pU-���-, 41 ��--P-�=� ` - <br /> �-r C+� ��� I 5 a�-1- w ��- , ,.�� ,, ,.E ,1 .�-{-v �e w o.v.._ , -� I�,-. J s � '� �°`-- - — <br /> FEE <br /> CITY OF EVERET7 LOC�L SALES TAX CODE IS 3105 �O� <br /> 1 hc�cby ccr6fy U�af 1 havc icad and examined fhis applicafion and knmi Ihe same fo bc Iruc and ----- ---- <br /> r,orrecf. All provisions o/fa�vs and ordinances yoveming Ihis typr, olwo�k wdl be complr.(ed -- -- ----- � <br /> r�hr.thc�specrlicd hercin or nof. The granling ola pemnf dor.s not prr.swne fo give aidhonty(n PFRMII!t —� <br /> violafc or cancr.l fhc provis�ons ol any nfhc�slalc orlocal la�v rcgulating cnnsln�clion orthc ^ <br /> pr.rfonn;ince nl r.onslrucfion. Thal I am aulhonzed by Ihe o�vner ollhis property fo pr.rlomi Ure t I� U� - I �g <br /> work�����7 �i�i��.�no�,rs��a��:a��a i co��,,�ry�•:�m rnc srafr. Confractnrs L��w 10.27 RCW and <br /> 29G. 02 0 AC. <br /> � . --- -- '–{/�,�J� ` - - <br /> �gnaimr. U,��c <br />