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EL€CTRICAL PERMIT aRPLtCA"fION <br /> CITY OF EVERETT PERMIT SERYICES <br /> 3200 CEDAR STREET, EVERETr W,q yg�p� <br /> 425-257'-8810 - FAX 42�257-S85T—www.evetetMra_ory <br /> �1aa7 S`�� i�r SEL L.c�1- 3� <br /> PROJECTADOR£SS `—' <br /> 1�-C S�� t� ��ell e�c� <br /> S Pl�.l�l-�c? �(kL�i2r ' S .:.)w_ /D(7 <br /> o-.,R,�� ��a�-rf- v�- qF�,fc� u�;'9 s 3,�-Pcv <br /> 1.Pai AOdreas C�, <br /> Sta1C?�P phpilg <br /> Tenant nbinddress C�ry <br /> State/Zip Phcne <br /> 1=er�i�1 GlFctr,�',r� �o�j�.� IZ 6F /Y��11CT��4 <br /> E�eartcat Cantr-acmr ��,,,� fi�� �i�Dc�2 U�1 3�7 S3� <br /> �` SlafrJLp Phorw <br /> ��.�r 1 � � ��� I /�-t_' <br /> State Ucertse Number — <br /> Cantract Price ot Wnrk <br /> Prc�osed Use oF Bwldmg <br /> Contad Person (Plan Revfev� <br /> �R���ta9e lt(re�denTiai r�ew cdrestntttlon,temodel ot add�On) <br /> � <br /> Number oF devices(if low voltaga) <br /> eJescription oi N7ork 7o E3e pone; 'L�'�l ��� <br /> FEE <br /> CITY OF EVFREl7 LOCAL SALES TAX CODE IS 3105 /D QO <br /> ��] <br /> 1 hArnOy r.e�tflylhut.!have rcad and Nxamined Uds appfiCaGnn andfmowlhe saine la 6e Irtie and <br /> ^o�d. �Nm'+-gau"d fows sn1 orr7inanms povemirrg this lypo a/µvrk syr7/bo rAmplelr.d <br /> wheUiercpedBrxl)�erein orrrot 'Rrs granpnAofa pann�T does not prasume fu�lve aidhonTy tn P[RMCT'#+ <br /> �riolate orcanco!!he provislor�,s o/anyofhershrto or/oca7law regula7nq conshuction nr8m <br /> p�domronr.e o!conshucGon. Thof I Um aul7torized by fhe ovmorof this pmperty fo pedorm!lir. E ( �� (�_ � <br /> �vnrk/or w )ch opplr lon is mede and f c�mply wifh tho Sfato Corrhachors Law�827 RCN1 und <br /> 24¢. C. <br /> \ � �, b � L� <br /> � naNm ���ro — <br /> FFiS[FJ)YIO�r.� <br /> Z d 9blLL£ESZ� ou� �upa�� uuie� dZf, l0 4l 40�°�0 <br />