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10i18i201J 15:1d F.41 d25959SUJd E��ersreen Securlt,• <br />ELECTRICAL PERMIT AP'PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRGCT, EVERETI', WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www•everettwa.org <br />��, � ��� <br />PROJECT ADDRE5S <br />ovmer <br />Tenant <br />h5all Address <br />u�s <br />Mail /Wdwss <br />� `� � <br />MallAtld s <br />C� V�-�(2�S � l l yL�. <br />Slato Licence Number <br />(�� M CYIOrrC�s�Q <br />Proposed Use of 6wlding <br />Square Fnntage (If residential new constrvction, remodel or addition) <br />L�✓ <br />Number of devices (If lowvollagej <br />Description of Work to Be Done: <br />CITY OF EVERETT LOCAL SALES TAX CODE- IS 3105 <br />Ciiy <br />Clty <br />�j oo: <br />-�c� W"14 a�g2b3 <br />Stato2iP Phone <br />Slate2lp <br />StatoZp <br />Phone <br />^� JLJ <br />PnOno <br />�q��,�� <br />Contract Price of Work <br />�'� � . t�l.uri-twL <br />Contaa Persan (Plon Review) <br />1 he�oby certi(y Giaf 1 have reod nnd exomined fhis opplication ard krtow the same fo be :rue and <br />carcect. All provlalons o/laws and ordinances goveminr� this type of v�odc win be complotc! <br />v:hetherspecified herein ornot. rno granting cla pormlt does not pmsume to give aufYcnty t� <br />vio�ato or cancol lho proNslons ol any othor state orlocol law regulatinQ cons7ruction or d�e <br />pedormance ol consm�clion. That 1 um autbonzed by the owner of this proporty fo podorm fho <br />work lor whichy� yplicafivn is mado and I comply wifh the Stafe Contrac(ors Low 1827 RC W and <br />296200 W�iC. � _ <br />ani:� v.�o�,� <br />FEE <br />(�fr1'C`� <br />✓v <br />PERMIT# <br />E 1310- IZ <br />