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�}>C. �l. L�1�J 9�E�nn� <br />��0 ��E4 P. � <br />ELECTRiCAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8�10 - FAX 425-257-8857 - www.everetlwa.org <br />' 6(..a� <br />///D /�/,l/iC� ��1 � Gv�4/�7 98Zo/ <br />PROJECT ADDRESS <br />DVS DF .S�vvNohiS�/ C�/�� <br />OwnOf :dailAtldress Cdy Stala('ip Phono <br />� vS a� s�r�of,c�,y�sr� c�-urY <br />Tonanl IdailAdtlress Cily S191e21p nA�� PyDno <br />'JCiV L <br />TLs�-t�G�(/ Co/LOo�ni�[�x/ /S��i ��tJ� 9S-t!, S� 2( C/?c�.OG,.�'f <br />Gloctriwl Gonlrac�o� 610��1 Addresa Clly SIaINZ�p P�ono <br />7EKii/Ol "'` �I',�5�,�%� <br />Slale L�wnso Numbor <br />Praposed Use of 6uiltling <br />�pno <br />Squa�e Footnge Qf res�denlial new wnslruclion, remodel or addlfon) <br />n <br />Numbor of Qovicos (II low vollape) <br />�escript�on of Work to 90 Pune. <br />�0� <br />Contract pnco o( Wo�k <br />Conlact Pcrson (Plon Revlew) <br />G/ <br />�rz� �2 ��y��T - � 2 r - sas - � S� <br />CITY OF EVERETT LOCAL SAl[S TAX CODE IS �105 <br />I he�c6y corti/y Ihot I havo raad and oxaminod Ihrs applic:+(ion and know (hc same to be (nrc �nd <br />correcf. All provisians o( la:vs snd ordinnnces goveminp f7ris type ol �voik will Ge comp7e�ed <br />n•hothor speclfivd homin ur noG The yre3nf/np ol o pemilf does nof prusumo fo plvo au(hotlry fo <br />violato or cancol fho provisions of any olhorsfnfe orlocal law repulaGng consfrucfion or Ihe <br />prrlom,anco 01 censfruc6on. Tlrat I am aufhonzed Gy fho ownar ol;his prope�fy fo prdorm the <br />�vorlc lor �vh(ch spplicafion is msde nd � campty wi(h fhe Stsfe Co� dr,attors Lsw 1827 RCW ond <br />296.200 WA.� — <br />�2 ���i3 <br />Cinncbvn — nei.. <br />R: w5E032NiJ <br />F�[ <br />�. L� <br />P[RM[Tii <br />E ���2 - �1� <br />