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i - _ _ ' _ _ ___ _ ' - _____ __. <br /> ELECTRICAL PERNiIT APPLICATION � <br /> ; CITY OF EVERE"fT PERMiT SERVICES <br /> � 3200 CEDAR STf2EET, EVERETT, WA P8201 <br /> 425-257-8810 - FAX 425-257-8857 - www everettwa org � <br /> I I � I �UU t� 5�� S � E�cf� � W/f � �L�Z�� I <br /> PROJECT ADDRESS <br /> -�_-�-`:�`�, -- --- - -- -- -- � <br /> ��. Owner MmI�dA�ess Gly StateQip Phone <br /> -�-�k- U^_�--- �--l c'°"" �� s �_ - - <br /> lenan� MaJAddiess Cdy Slale2p Pnane <br /> ' ,r'�{���.LI.L 1441(��„r--1y''`,�l/.-4'1,�u�.xtc� (,v]��, ,7 z .q��.vs�h <br /> I Electncal Conl clor MadAddress Clly s�ale Dp Pnone I <br /> I �l.�ur`��� EL�ti� 3i Ivt n,"✓D'� SS <br /> State I.icense Number (reqwred) C�ly of .veretl usmess L�cense Number(reqwred) � <br /> MaHti �tc�uY�'hn —�tc���- _ <br /> Proposed Uce of �uilding . Conlract Pnce ol Work � <br /> 1b�Gc GY.rr'�__tiz�FiU � Sq�2_ <br /> Square Foolage (II residenual new consliuct��n, remodel oi adddion) Conlact Person/Con�acl NumheriLmad <br /> Numbcr ol devices(It low voltage) <br /> I _.!'�����_ ' — <br /> Uescnp6on of Work�o �e Donc I'llM) 7 G�D_ __�'��F' > _ ✓ <br /> _ 'P V1�'n� .— -- --` — <br /> 1 <br /> F[[ <br /> CITV OF EVERETT LOCAL SALES TAK CODE IS )105 �� ��� �� <br /> I hereby cr.�}�ly fbef I hevn ie�d��nd exammeAfh�s npphcahon�nd know fhe same fo be l�ue onrl __ , __ . <br /> r.orrecf. AH provrswns ol lo�rs a•�d ordmanr.es 9oveming fhis type ol wmM wJl 6e complefnd - --— -- --- - - — <br /> whefher s�ecrficd here�n or not Ihe yrarrlmy ol a pemut does nof presume fo groe nuffronty!o PFR��1ITk I <br /> violafe or cancel the provis�ons ol any ofher stafe or local law mgalabng const�uchon or�he � � / I <br /> peAonnance o!consln�c6on Tha11 artt au(honzed by U�e ovner ol Ihis property lo Pedom�Ihe / 4 I( _ I S � 1 <br /> wnrk lo� plicahon is made and 1 compty wdh Ihe Stafe Controcfors I aw 78 27 RCW and �_ __ _ <br /> 296 20 WAC '� <br /> , i. i <br /> u, � � I <br /> -- -- �- _-�—�-- --- � <br /> ,� Uale <br /> I I <br /> �kv6F00. ^4p�� <br />