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--- — � � - <br /> ELECTRICAL �ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br />� d��, , 425-257-8810 - FAX 425-257-8857 —www evereltwa.org '�` ',` <br />�'°�`�`�'.� , ( �ob -i �J �,�`:�; <br />�� .�':} ,:.�,°� , � �fa5 - �R�. 5+ ��3a6--�� �( r`�K <br /> 2�,� c ; li /i ,a �—V�fe�'�� <br /> � �° , <br /> � :;. <br /> PR7JECT ADDRESS <br />�,���.��;F� �e,�� � `�» 5��1� ��- �rerP,-�-� �� cl�Z�� <br /> � � O�+vner Matl Atlrlress City StatelZip Phone <br />_'-.�:.;-K..:,..z r.�- <br /> Tenanl Ma�lAddress City StafelZip Phone <br /> I4�:"zJ� /��^+1v.�:(�.T' wV, �O/S" �VelP.� H•�� h-�CIC,�{ �✓n °�Z()l �o�9� J ' S s`I <br /> ElectricalConlractor MailAddmss City StalelZip Phone <br /> ,t�t E-tZk �Z G�5 gZ ZS D n.°� <br /> State License Number Contrad Price of Work <br /> l./����-�er^� �e��ti� A�e.,-��� --- <br /> Proposed Use of B ilding Contact Person (Plan Reviev�) <br /> Syuare Poolage Qi residential new construclion, remodel or addition) <br /> Number of devices (If low voltage) <br /> Descriplion of N1ork lo Be Done: �t�•,[/-�1 �., '�'1 bet' O,/}��c.. un�� !� /�+� {��.�y� �(�VC� <br /> �e--haee.�- es� Q�:�� b���.��._� 381 '7 S�.'.1�_/� -1l�e.,. nea�� I <br /> l;�r�,� ac.ros5 ��.e, b�1� al��_- --- -- <br /> F[E --A-- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 �/� ' Q O <br /> (/ <br /> 1 frmeby certily(hal I have read and examined(Ris applicafion and M�o�v(he smne(a be(rue and __ ___ _,__ <br /> coner,(. All provisions nllaws anU ordinances goveminy Ihis type o(work will be conrplefed ------ <br /> whefhei speciGed Aeicin or noL The gran6nq ol o pemiit doe;nof presume(o givr, atdhonty(o PERMITtt � <br /> violate or r.ancr.l Ore provisions ol nny other slafe or local law regulaliny consin�r,tion or thc / <br /> pr.donrrance ol cons6uction. Thaf l am a�dh,onzed by tlie awner oI fhis p�aperfy to pedonn!he E � �Q� _ O�� <br /> woik/or�vhich appHcation is mude and I compty with fhe Slale Confraetors Law iB.27 RCW��nd <br /> 296 200 WA('. <br /> �-� 1 � <br /> Sig alurc � Dalc <br /> rervrse�iaau <br />