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------- r; <br /> ELECTRICAL PE�MIT APPLIC�TION <br /> CITY OF EVERE77 PER,�'iA,l'�,SERVICE� <br /> 3200 CEDAR STREET, EVERET7;9NA 98201 q <br /> 425•257-8B10 - FAX 42r257�857 �,�vww.overetlwa.org `- � <br /> � g��aa =o� <br /> � --� �� i5 <br /> G1 (�Do S{�.� D��v2 <br /> PROJECT ADDRE55 <br /> � ��l/� 1 II w VV�1/V � I (✓ 1 1 l� 4 �� Phona <br /> Mall Addtess Clry S�alalZlp <br /> l�1k�51� 'I or�G�;nc, , �c���ui�c CY�� �� <br /> Mell Addreee Clty SWtelZlp Phono <br /> Tananl • ���Z� <br /> Spru:�I �aec�L ��,�� C�.I r�rn�a,SF �/Pf�� V�F19XZ�`1 � Z 5�-3�55 <br /> Mall AdJmse Clty SlatelZlp • Phono <br /> Elecldcal ConUaclor . <br /> SoN iTf'� 9��b7 I 3/�3 <br /> Stato Uconsa Numbor(roquired) Gly o Evoretl Bus!nass Uconee Numbar(roqulred) <br /> � ;,� � �, aa � <br /> �� n Controcl Pdce al Work <br /> Proposad Uso ol Bu i . l <br /> 42S � �I � d–' <br /> Square Foolapu(It reslAontlal new conslrucllon,remodel or addlllon) Co�e nlConted NumberlEmall <br /> Numb��os(II low volingo) • <br /> i <br /> Descrlptlon ul Work to Do Dono: �� rc��M '����r-� � � �`� —"" `-��-��� - <br /> �. I G� � �, �lTl() ` l <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I J,'��'� <br /> I horo6y cerL'ly U�of I havo mod and exeminod flds applicntlon nnd know fho samx fo 6e Irvo and <br /> coirocL All provlslons ollews enA orcllnencos pavoming fhls rypo of vrork wlll6e compfolod <br /> whc(hor spociflod hareln or nof. The gmnllnp af n ponnl!does not prosumo fo Nive oulhorlly fa PERMIT# � <br /> vlolafoorconcellhoprvdslonsolenyofha�slefeorlocollawrnpule(Inpcansfnic0onorfho E 61502 ' o? <br /> porformonco o/ronstn�cflon. 7Tinf!em oulhorized by Iho ownor o!fhls pmporfy Po perfomi fho <br /> wrnk!or whlch oppficafion Is modo and!comply wllh fhn Slefe C rfmctors Lew iB.27 RCW end <br /> 29G. AC. <br /> � � 23 � <br /> a�o <br /> - ipnnlure <br /> BLYISFU0896'!OR __ -------- <br />