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ELECTRICAL PFRMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETT, WA 98201 S_�� <br />425-257-8810 - FAX 425-257-8857 - �vww.everetlwa.org ib — <br />���� � ��Zt1 <br />PROJECT ADDRESS <br />Owner <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1AailAddress <br />E <br />CAy <br />7_rr _��.f ���-- � ���d, � <br />Tenant MaAPddress �'�Y <br />�/� � fE <br />�r�.c�����.t��t`s`W _w--- `�Y o �Y�/"— <br />[lecirical CoNrac�or �da�i Address �'' �v <br />et�.tro�en qv�l,��t— <br />S�a�e License Number <br />� GLS s�-C.7�� a .� _ <br />Proposed Use of f�uilAiny <br />Square Footege Qf residenimi new cunshuclion, remodel or audition) <br />State�Lp <br />Sta�elZ�p <br />v.� 21 D - O �-I ( <br />F'hone <br />Phone <br />State%Lip Phone <br />T7���.m7 <br />Contract Price of Wo�k <br />fio�l oS�t�Ie <br />Contact Person �Plan Revievi) <br />� ___�,•P � ( y ) G' l 00• � �'� <br />Description ol N'ork lo De Done�. _� ��' t___�r�' — v� --�- <br />� � ^ % _��� Fs r-_--_ _[ Q"'^'�M � __ IC.G ��— - <br />I NOTE WIRING IN NON-0W[LLINGS IS REQUIRED TO <br />I f3E IN RNC[WAYS, MC OR AC CADLf_ . <br />CITY OF EVERETT LOCAL SALES TAX CCOE IS 9105 <br />I he�eby cerffly fhaf 1 linva �ceJ nnd ernrnineJ fRis nppl�c.ifion and kno�v Iho samo tu he f�ue and <br />r,orrect. 1111 prowsions ollmvs and ordinvrces Joveminq fhis fype cl waik �rill be cornpl�ted <br />�vhuther specilii. d heiuin or noL 1 ha grunlin� o/a pernut does nof vesumo fo give authonty tu <br />viola(e orcnncel (he Ivuvisions o/ nny othr.r stnfe or local law reyu��tin9 consfruchon or Ihe <br />pnrlonnnnco ol conslruclion. Thaf I nrn auflrorized Gy Ihr. o�vner ol fhis /nope�iy In perlonn fho <br />�vork Ior whir.h applicalion is rr'ado and I cornply �rdh fhc Sfnfe Con6aclors I..a�v 18 27 RCW and <br />296200 W/1 � ' <br />� �D-S �IZ <br />-- <br />---- - <br />;.��_���,������ - <br />- -- - -- -- — -- u,,i� <br />FEE <br />��-��L� <br />i;- � L � l,' ._ �,1 �' I <br />6 <br />