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u <br />� <br />� <br />ELEC�'�V�A� ��i��6�' �i�PILV��4'�"�t�� <br />CITY OF EVERETT PERMIT SERVICES <br />32G0 C[DAR STR�ET, E�IERETT, V'JA 98201 <br />425-257-8810 - FAX 425-257-8857 --vrN���.everettr:a.org <br />! 7y1 y f���2 G��Fiv w��y �� <br />� PROJECTADDRESS <br />0:•:net <br />tAail ACafess <br />C�ty <br />Slate/7.ip <br />PF.er,e <br />I Z �} u �l � Si�rou� c+i� D�s�v€�n G[5 ' <br />7enar; !.tad.ddiess C�;y SIat=2�p Phcne <br />I <br />,lNFir✓i7y F.rcc�krc_ X9�8 r39�vt SE N��c�S�cE �f�OS9 zaG�7��i�zly <br />� Flectl;ca!Co�tractor i�:1a!iA�diess Cdy SlatelLp Phur,e � <br />��/Fin.'� 5 °y21..� <br />� Stafe Licensz Nun-�ber <br />i <br />, Pr000sed Use o` Build�eg <br />I <br />� Square Foolage Qf resider;ial new construc+.ien, remodel or addition) <br />� Number of devices (If low vollage) <br />j IJesu�ption ol'Plark to �e Done- 3 P ��� � G I R Gl/I ( —� <br />300�° <br />Contract Pr.[e c1 S'lcrk <br />Contact Person (Pian Revi_vi) <br />i� zoa �iRcv�i - <br />� _ <br />; F[[ <br />� CITY OF EVERETT LOCAL SALES TAX COOE IS J105 .�j ��O —I <br />✓ <br />I herehy certi(y fha! I have read and exammed tlris applir,afion and Imo��� (he samc fo Ge tnie and <br />ccrrecf. All provis�ona ella�vs and ordinances goveminy fhis type ol �vork ��.ill Le cornpleted <br />�r:hether specdied hem.rn or nof. rhe yranting o/ a pennd does ncf presurne (o give aulhority fo � P[Rh1IT� <br />viola(e ar cancel (he pravisions ol any ofhe�sfa(e orlocallari regulating consfrucfion ar Ihe � I� O 1 �.^ I�/ <br />perlonnance o/consl�uctinn. Thaf I mn authonzed by (he o�vnerol ihi; prooerty to peAorm Ihe `- i }� <br />•��o�k lor v�hich app6cafion is maUe and I comply �.edh fhe Stale Confracfors La�:� 18 ?7 RCLV and <br />296.200 VVAC. � �, <br />OylZ�i l2ai <br />