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• -- -- - - - .� - - - <br /> � ELEC�fRICAL PERMIT APPLICATiON <br /> I CITY OF EVERETT PERMIT SERVICES � <br /> 3200 C[DAR Sl RE[T, tVERE�1, 4VA 98201 I <br /> 425-?57 A81 C - PFJC :25-257-4857 -vn•nri.everettvtaArg I <br /> I <br /> i � <br /> ��������� ��� <br /> PROJECT ADDRESS <br /> � � r �.Y�n l�� Q`" _5���1.��—l�-�---� ah°^� <br /> ay =:co'°'F <br /> O,.�ncr r.taa G.cdR;: <br /> � _ . . S::dNZ F Fh=n_ <br /> Tonznt r.tallPCom.: CN ��.\ , <br /> 1�' �{y �C� y�/��� �(�/y��a��'"_Pl_� _�_.s��s��-�--c� —��aSoU <br /> I LA.krs.LtiY.�111L�--yj-- vl. S'.:o2iy F'honc <br /> Giec:nca!CC"lrz�to' ' r <br /> r,y'�PdCre-�• ' ' � <br /> /� � �� I <br /> I nL.�� ��al�vy^ � C�.Y or r.vere;'Bu;ir.?ss Lic^rse Nu�nber(requ�rc��l <br /> f I ' <br /> I $[a:eL�cnnseFJcmc?rfrequ� d�, ' jDd I <br /> � � i <br /> �' _ ._ ' Ccntract Price c(Work I <br /> � Prop�cCd Use o'Ou�idi^.c Q� I� <br /> �v� y2S � - i <br /> I _ --. Contaet�'er;ervCon�ct i\umbedEr.an <br /> Sn��rr,Foot�9�(��'�'�';;�::n•�I n2w cors:r�dion,r<model or adcliGen) I <br /> i <br /> Number of Gevices(If low valtage) , I <br /> �I D�,=cnphon of WorV.10 i3e�cn� � � � ��,P—� 1 -'��.�� ..' 1� <br /> � <br /> I ---- . ----- -" I <br /> I f-� -------- , F�E II <br /> i <br /> i ' <br /> c;ITY OF 1]IERE17 LOC��-SALES TAX COD[ IS J�O5 �-,t1v �/�D./ II <br /> IlY� /l/ J <br /> 1 BOR+by co4my thaf I hrrvo mad and ox�mmotl LhiS aPPliceLoO ando/o��e SOo�omp atnd �n.H � <br /> ' ronnct �111:�ovis�nn�o/�a�t's and o�+'�innn:es g�vom�nn�his tyP iv9�UthO�N to YF.RP111� <br /> �' �..dir.!hv'speCA�cd he/o�n ornoL Ihe 9r3nbnp nl a P��"�t deo5 not prosum0 to 9 I � I �D� J I��.� <br /> vrnlafeorcan�olmepro��5�onsofznyctho�sfatelorlo�'������e�olfhs�p p rtyto�poAa�m�fha <br /> ' perforrr,anea ol eansVuetion, Thaf�arn auU�on:.od by _�_-- <br /> I �vo�k!or whiCb appLWhon is mJde �nd I ccmply ti'vith the State Confrdctort La�•+ 19.27 RCW and <br /> ?96.200�'A�. ' I <br /> �-" _ _ ' ��I�l�`1 -- <br /> , <br /> , �,:_ <br /> � Sgn�N'0 i I <br /> i I <br /> � - i <br /> `._ h_—Y�7:OOL�J�< i <br /> ! I . �4,� ���:i� ; � . � � ��. ..... <br /> ;, _ . ., L� , ,.. _., - <br />