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--- - - - - - i <br /> ELECTRICAL PERMIT APPLICATION <br /> CiTY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, N!A 98201 <br /> 425-257-8810 - FAX 425-257-8857 - wvnv everettwa ory <br /> (y/��-D s� <br /> �� -��f <br /> � �� � �7f� � s�= �,c��i wr3- 9�0� � <br /> PROJECTADDRESS ��b�'_� Q <br /> � �Q i cs� N��LL�.�S �I O y7�-� c.�—t��r'2�-�tT � �h ���3 <br /> I Cv:ner hladAddress G!y StatelZip Pncne <br /> � Tenant G1ail Address C�;y S!ale2�p Pncne <br /> � <br /> (�Cu��=ti F�e�c�2� �=tlU c SNoi��L-1 �,:�-�-��°��ca yZs��05-61 s I <br /> ElectricalCoMraclor Lta�iACdress C:ry StatelLp Pnane <br /> �n ° o <br /> o -u�1 �`�S 9 �{43�-= —.���__— ---- - -- <br /> Stale Li�en;e �Jun'•ber CoNracl Pii�e oi`?Jork <br /> I <br /> Proposed Use of Building Contacl Persen (Plan Review) i <br /> Square Foolage Q(residential new construction,remodel or addition) <br /> INumber of devices Qf lo�v vollage) <br /> Descriplion of Work to Pe Done: ���������11U�_�1J..1t- � ( �NG r� 1—`-�_�C'" <br /> �_��,,,��,._�;. �C-��.Z�-..)����I�b>C��_1���tiC� - <br /> _��1�—�1.��-w �Q���C..����,�--��-c� �Z� ��2 �d� � <br /> FEE <br /> CITY OF EVERETT LOCAL SALE-S TAX CODE IS 3105 � �� ��V <br /> I hereby ce�Lfy Ihat I have read and examined Ihis appi�caG�n and hnow Ihe same fo be frue and <br /> cenecL All provrsions o/la:vs and ordinances gove�r�iny Ihis type ol�:nrk�•:dl b� compfe(ed —� <br /> �vhefher specilied heiein ornot The granfiny o!a pennit does not presume to givc aulhonty to pERMIT» <br /> violate or cance/fhe prcvisions oI any oNier sta(e or local la�v regulatin�consfruclion or the � + � O�— �C � <br /> perlom.ar,ce e!cr,n::!�uctie� . !:_!!`vn aulhnnzad by Ihr, o�vnerol ffus propeRy lo peform Ihe I J <br /> �vo�k lor which a plicatio is nrade an 1 comply�rith (he Slafe Confractois Law iB.27 RCbV and <br /> 296.200 VVAC <br /> — —igna�ur� � Da� � ----- , <br />