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--------. <br /> , <br /> —-- i <br /> ' ELECTRICAL PERMIT APPLICATION ', <br /> CITY OF EVERETT PERMIT SERVICES , <br /> ��d� <br /> i <br /> 3200 C�DAR STREET, EVERC7T, WA 9S201 C '3o y `1�� I <br /> 425-257-88�� - FAX 425-257-2B57 —�+^�'�'everettwa.org � <br /> i <br /> �, � <br /> i <br /> �� �o� s',�vzes �v u_y � �� � � i <br /> ' PROJECTADDRE55 n�-Y '' �� <br /> Sh~ .�Ja�e�.kt wh 2�u6•3�`10 . �.�I <br /> ' � Ma.\ O�+ �\✓� `OV��I � I <br /> ', � �~'�y � State/Zip Fnone � <br /> �r,y <br /> Owner Maii Naorcss \ � I <br /> � \ 1 � I <br /> i <br /> � �1 Stata'Zio Pnone � <br /> � Maii Atldfee6 C'�� I <br /> � 7era�t t���' ��� �y� � <br /> � �� `I � `'.ns� A�a. So• 5��t� Wti. <br /> � V u-9.D.w.J J�c.UR�.- Stale2lp �non=_ �' <br /> hlxll Adtl�ss �'��Y � <br /> '� Electr�cai Contractor 2 � I <br /> , � 5 .J <br /> � ��,�.2flSS a33 ' <br /> Gonva�t Pnc�o'worv I <br /> � State Licenee NumDer <br /> I J'P nl o W�-.'.c.�, 6 bo� I� <br /> Contact Peron (P1an Revl'-w) <br /> I provosetl Ute o�Bulldin� I <br /> II _.----- �nod�i or atlditionl I� <br /> . Square FootaQ?Of re5ldenUal new constructio^., I <br /> i � I I <br /> i I <br /> I Numbe�ot devite5(If IOw volteje) <br /> , � � ��� 5 �L v R:�-y I <br /> pescfiptip�.of Work to Be Done�, <br /> I.�o..�_ v p������ ' <br /> , p�� C�� J �7�-�� � <br /> � <br /> � <br /> I <br /> I; FEe O� I I <br /> � I <br /> . CITY OF EVERETT LOCAL S�LES T�X CODE IS 37�5 _i II I <br /> I hereby CeKiiy tbB•'I havB�ad Pnd r.xenllpBtl fhrs ADplrcalicn antl kr10i'�'fhB SBme to bB frue Bnd � I I <br /> � conr-ct Ali pmvrsi0n5 o!la�:�s and orr6nances ooveminG Ciis ry��e o'work Nvll be complelCO I <br /> ' wbefner speLYfietl hereln or no: P�e g,�nhno o!e perrri:tloes nof pmsum^to 9��e euthOrrt)'to � �Rn3�� ' I� I <br /> i <br /> viNale Or cancel t/�e pro�sions o�on��nfher sfafe ar bca�law repu�aling constrvebon o:lhB I <br /> � peAonnanc2 of r.onslNchon. Thal�am Pufhorrzec!OV fhe owns�ollhrs pmperty�o perform fbe � <br /> � wptl� for wh�c7�nupliC�fi'�n�5 made entl I Cnmpl�'�v�tb fha 5(ate Contractors Law 13.Zi RCIh'and I <br /> � 0 V✓AC. <br /> � <br /> � � y-3o . ao� � � <br /> I ^ ST�R�oN2 Dn�e I <br /> ; S�o c� K�Zc,�.�1 I <br />