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i ELECTRICAL PERMIT APPLICATION <br />� CITY OF EVERETT PERMIT SERVICES <br />3?0o cF_�aH sri�i:�- r. r.vE �r n, �,��n sazoi <br />� 475 ?�i1-8810 - Fi1X d?5-; 5J 985i —.���.ro:v everett�tia cry <br />'� f-�a 7-�--_9_�1 �� s`''--- <br />I PROJECTADDR[SS <br />� _ h'I/k�- _ r��.� Gr -- <br />u�:�r�: � rea � n,��, , „ �� �i <br />� <br />' i rn tni . . . � . � ^..0 �,1:I:res �-- <br />� r� <br />�✓U r/!7 r � /1 /� � /� � /'�/�111 ` .. .i/� C, <br />� f'�di�r_;dCrriroc!cr � I+a�iPd�ress <br />I No�2 7H��vyy/n2 <br />ci �!�. �,� �.��p pp,�.�.hnr i r�qi.� �..li <br />-` � y � �.,1 Use ol flui�ding <br />/_� Y_ � <br />;qu,ue �ou'age �II rc:.ri�rnt�al new construcl�on, remudel or adAilionl <br />� >;umber of devices (If low volla9e) <br />� Vesu�plion of Work la Oo Daic <br />C�ry <br />C t� <br />�� r� /� `/J <br />� -������- <br />_ , ,�. , , <br />Sta�er7 p <br />._� _'_ SIa1nN.p . _— _ <br />„ ; <br />� <br />--- _ — � <br />Phcnc I <br />I <br />Phere <br />0���'��-- <br />r, ty„i i-:�������i i��.s ��r:s I��-erse Numbe� (reQwred) <br />Contracl Pnce nl �'loik . <br />CoNacl Person/Contad NumbedEmad I <br />I <br />� <br />Sl /- T _ !�/� �' /�v �22 z— – - � <br />l� I <br />i <br />�iEt- -- -- <br />'� CITV OF EVF:RE7T LOCAL SALES !AX CODE IS ]105 y � �( O. O V <br />0 <br />I I hemAy tertAy Ihaf 1 �nve read ��nd r. rarnineJ IAis ��p�,bi�dh��n and Ano�v fhc r�dmr lo f r nur an�l I _— — <br />� runrcl All pruwsians oll;nvs and onPrmncr.s �ovcrnniy fhrs f�pc ol wor1, r,Jl be tomplc(�A -- �-- -- <br />�� � ,i � I (hc ran6n ol n�cnruf Aoes nut pn�sumr, fn ��vu �iulhocty fn i Pf li� t(Ti <br />�•:hnlher spu.� �Cd hw<. n nr r u y 9 I <br />� � �nlate i�r r.ancel fhe Frovisrons o/pny ofher state o� local la�v royulatmg ronsUvr.fion or llre <br />pr�lorrn;fnr_e o/ cnnsfmchon Thnf I r�nr aulhemed by fhe owne� ol fhis propeRy fo perlonn fhe � E��O �_ OC��7 <br />� �: ��rk l��r nh�ch .a�ppc�hnn rs maJe r3^d I compfy c.drr pin Slaf^ Con(�,iifnrs I atv 1 B 27 RCW e�.d _ ✓ l <br />, ^9r,?�iOIVAC <br />� ;�Jy�, ,, ,,,��-,���.-��,/�. <br />I <br />���1'J <br />��.�.. <br />