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_ l'� _7=�c� 7(. <br />-- --- ----- --------- -- — - 1 <br />� � <br />ELECTRICAL PERIV�IT APPLICATION � <br />� CITY OF EVERETT PERMIT SERVICES <br />! 3200 CEDAR STREET, EVERFTT, WA 9B201 � <br />' 425-257•8810 - FAX 4Z5-257-8857 — w�vw everettwa org I <br />��'L' ! / • ) ;..1:% C � �� C- ..r..� <br />� i ( <br />PROJECT ADDRES3 <br />i i a � � <br />I � � <br />� i:.. �_ ('t l �. C.�.. kJ� �-i' �-� i <br />� Owrer �.Ia�����:.Dar_. C��Y <br />� �enent <br />i` , j `�L. <br />LICQn�i <br />��� I`� <br />Ma,i AtlO�ess <br />� ,..,:� ; - <br />� <br />ic.�i•,,,.� ' <br />., � n <br />� l � r��l i- _ �5•�i<: C� �_t �;!'�. ��'. ��! <br />IAmi Aaa�cee <br />�>I f[i.l� i .k ��1� % Lk— <br />Stale Lcensc Number F. � - (� �� r I- i_i i . tl. ( -. ; , ' i ' .'. <br />Proposed llse o� Bwld�np <br />Squaro Footego (If residenlmi new eonslrucbon, mmodr.l or adddlonj <br />NumDcr ol Cev�ces (II low voltapr.) <br />Cny <br />.� iV <br />CAy <br />El5 /I -��55 <br />�/- �0-�5 <br />SUIelLip <br />! / ' �:.. <br />vtrr�' �c:i.c i� <br />siamroo <br />Pnone <br />1} [l- .?i'i'. <br />�: (' � �r <br />P�Ont <br />. P�une I <br />4 �� �J� '�� � _. -- <br />Conlract PnCo ol Ylork <br />,, ._ ' � I .'.I(._', <br />�E_� �- i � 1 i 1� <br />Conlad PcrRon (Plan Roview) <br />i.' i�' / 7 i t.� f 4 � <br />Dr.su�p4on o1 Work to �c Vonc �� ��.i ; �' . i �(: � );� L� i � /1 � ( 1 > � . I �� i_ � 1 �. ( �. � ( . I_� �` � . �. 1_� C �- - � <br />'. �`.1Lt: i���(��'ih�.�i. i:d 4�i->•,, s I_�il�i�_ll-hPi( i1!�_I:,�A.4�-�_���=`���_n ��'1f�.�_�r(.flT'- ,, <br />�. ,1 -, - ' _ � _ ' 'c _ _ t, � i .l_i••�l�1 r i"� Jt'�''NI,J� ry�Ci:..IJ_ �, <br />Fa E'� ri�'.��'i_}'� ' _s-t'— <br />� <br />� <br />l��,"i� ir-iS ,. i:_!�.lt: ,'��"j FFF -- I <br />I <br />i <br />CITY OF EVERETT LOCAL SAL[5 TAX CODE IS ]105 I(� , G> D 'I <br />I hcroby certily Ihal l havo rcad und c.arnnrnd tbis npphcuhon and Fnow thn 5mm� fo bn fmm �nA ____ __ � <br />com�cf An prnvis�nns nl inws and ortlm,inr.es qocemmy fhis fypo o� work wrll De complulurl - i <br />whefhnr spcafirtd henrin nr nnf The pnnfmg al a prrmd docs nol p�esunre (o grvc nufhanry fo PERMITq — I �' <br />v�olnfc or cnnco! f�a p�ov�sions ol eny othei slafo or lucal luw rugule6nq conslrucbon or Ihn � i � <br />pcAnrmnnco o/ r.onsfn�r.fion. fhnf 1 ant aufhonzod Ay fhc ov.rter ol this p�opoRy fo pnAomr fhc I� � I o55 �! <br />wo�k lor which �pphcnhon rs mxdc enAl comply wdh fhc Sfnfe ConGaclors law 18 27 RC,W ond __ __._______ __ I <br />Y96 200 WAC ! <br />�,11i`.`L'i'L. �1.t �l ( , YC � �� � �i I `� <br />Sipnatura DaCe <br />i� <br />tir•,,��_;,_�•.i'.i:_I�yrd< <_ � . <br />' �i.L :�'� 'i(:<' . , . <br />