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< < � � <br /> ELECTRICAL PERMIT APPLICA�fION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREE:1 EVERETi, WA 93201 <br /> 425 257•881C - FAX 42.i-257-8857 - www everettwa org <br /> (;14C�`'i � 1�9 <br /> C_� (,�-1 11��1�� �J � `>E: � _iq —lu <br /> PROJECT ADDRESS <br /> �����•c i r c tr �`.aL�c�� �-Y�_,_�_��_�>1 z17� (� 1�F �v�, �{-I �'1 � Zt��. <br /> Ownei h1ai�Aedrrss Cdy Statn,l�n Pnone <br /> i /__ " _ --� r_'_`_ — L`'1�� L `V b (l0 <br /> 1BnAn� r,ta�inonress CiP, :ia'f�Zn Pho�e <br /> I ,��,�t a��n c�irr �v�rrn�, ixio� ni. �Hi n sr, c zno RI{I)�t(tNf) N':�/9HIIS2 •12i RHI i420 <br /> [IP,[h�r,al l,Jnl�aClnr ldan n�n�ess (�,:tr Sla�e�Z p Pho��e <br /> 11MCU�1.�1C92:(:: ��5 � <br /> Slate 1 �censr Numbc�r Conlracl Pnce ol WorN <br /> � f /) �� � �ntii �r �ftr.t.�nr.rv <br /> J (r1 i 1 0 �G I"Yl � � 1 IY�f `,�� CJc_P j"1 � <br /> P�cposed U . o� �uilding CnnLu�,t{'e�snn �Pl�n Review) <br /> Square Foolage(II resdrnhal new conslruclion remoAcl or adAd�on� <br /> Number ol dewces pf low voltaqel <br /> (les,:ript�on of Work lo F1e Ilone � Y"�S�Ca l I � Q�l�l� C � 11 Q l Q _��C��`._-- --- � <br /> _a,�v C,�1�'-.�_ . Y_1SL«�__��� ' <br /> Frr � <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS J705 � �-�J <br /> I hr.n•hy ��rrtdy fh��f 1 hdvr rrnd nnd exdrnnrotl fh�s ;�ppru uhun dnd tinoH�Ihc s.�rn�� N bu l�uc an�l ���� - -----. I <br /> Conrtt All pruvrs�uns n/lawti end ur�dnances ynvenuny fhis typr uf wor6 wJl he cnrnplrlNJ - -- - � <br /> whrlher spra6rd hnmrn nr nnf Ihr granfrnq ol a prmvt dors nnf prnsume fo givr aufhonty fn PLNMIT# � <br /> v�nl,i1��o� r;in�rl fhv piovrsrurrs o/;�ny nihe�sfnle nr In�::�l lew iequlahny r.nnslmcl�on ur fhr� L ///777 C I <br /> perf�mndn, ,•n(c�insfnichon Thaf I am�ufhorr�ed by fpa��wrro� n!flus propr.�ty la per/nnn fh�� � � � �� � � � � : <br /> work !nr w r�.h a����Deafron a mede and I cornply wdh the SNht Conh;irinrs 1 aw 18 27 RCW an^. - --- - -_ . � I <br /> 796 7n0 t' �� <br /> ' - ----- ��_�'-'� - -.— I'� <br /> - - Uate <br /> nr� .f i s.� <br />