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_ _ ' _' —_— "___—. _._ _'_'__ -. _ —_ -__ _ ' __. _." "i <br /> ELECTRICAL PERMIT APPLICATION ! <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CED�R STREEi EVERETT V'JA 98201 <br /> 425-257-8810 - FAX 42F-257-3857 - www evereltv,a org I <br /> CI S75 -D�I I <br /> a �� loo '� �`���- s � ,4 . �5 � <br /> � <br /> PROJECT ADDRESS i <br /> ' --`�-- �v c.� �' C_(w�T— --��,,-�-� (.� F� . 9�eg �lz�- �6 a-��?�i0 <br /> � OwnOf f/ai'��:Iaress Ctp Stale'I�p P^r,re <br /> I —___�'p�-T�o- yll�'� <br /> � <br /> 1Cnani �-- _— IdaJAn,dr«ss C+/ S!a'crLp f'I:one � <br /> c�cu- �J�TVfc�wu6 1 D 0� �� 3 0�/� rt �S�• �C1wV9.��S � • - l�z('---- <br /> Ele[Incal Conlrac�or t aJ Aotl�ezs Ory State2ip Phone <br /> S�A ,��"i g7l � f-1 � le s c ice c(���ed�_<<se�� � <br /> Stale Liceusc Nurnber lrequrted� dy of Everett usmess License Nurnber �require <br /> �� 7`'� --- � <br /> Proposr.d Use ol�wld�n� Contract Pricc o!Work <br /> ���� 5T �/��� � 76o- 6o�tC� <br /> Square Foofage�If residenhal neh conslructwn. remodel or add�Uon) Cenlac+ Perso�'Contact NumbedCmad <br /> I I <br /> Numbcr ol devices(II low vollaye � � <br /> f � <br /> ',i � L ,I ` I <br /> f)escnplion o1\Nork to Bc f)one �,U vl 1�y�'�_ �� 1�J (�1 7"� � �u' ��' "«'~�� ' <br /> - -- ��91 —{�-- ---�-- -- �--._ - - <br /> � — -- -------- �-- -- -�-- — � ----� — �--_. <br /> I � FEE - --- . <br /> I I <br /> CIT'{ Of EVERETT LOCAL SALES TAX CODE IS J705 � v� ���� I <br /> I heiCby certAy flrat I huve muJ�ind C�imme0 th�s .ippGcoGon rmJ hnu�ti fhe soni�r f��br frw, unJ �___ ___ _ <br /> � n.nrcf �II p�orc;rons ollnws and ordmnnces govem�ny fh�ti IyPr ol work wdl he curnple(eJ --- --- -- <br /> i <br /> ��hefher specdicd herwn or nuf Ihr, granbny u!a U�'�»��t���Ns w[p�esume !o)ivn.�ufhonly fo PCRh11Tt! � <br /> v�olnlr, or cancel!he provisions o!any ofher sfnte or ioeal la�v mgulahnq cons(n�efron nr(he �^ � <br /> prrlor,n;mcc ol cunt;fnicf�on Thal l am uuthon[od hy(hr tiwna ol fhis prnperty fo pcilann p�r E I�'�O � — O g <br /> � �wrti /c�H'frrch apphcafion is nradc anJ I r,ornply�vifh fhc Sl�rte Cunhacfnrs!aw I8 27 RCW anJ <br /> ' ^96 200 IYA , <br /> � � � _— <br /> � l / ZJI� I <br /> ,I �i �,awrc � oa . i <br /> �� <br /> ... ,- . .....,: ., ___ . . . _ . . _ . I <br />