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ELECTRICAL P�RMIT APF�LICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �J �y�7-`-�S <br />425-257-8810 - FAX 425-257-8857 — www. ttwa.gov C i SD7 ��5Z <br />��� v <br />/` i� �7 / �� <br />W i �nr� e.fMnP( G Yl ey �� s�4iE -�Qs<<,cl� ✓i�la�e <br />PHOJECT ADDRESS � Y U7 ��� +I,� � �%� (� � ve fe ��-1 fi 9�� � y <br />Owner <br />Tenant <br />�r�E�����S�t�3i�6 <br />State License Number (required) <br />�Ca� �Sfafe <br />Proposed Use of 13uilding <br />Mail Address <br />MBiI Add�¢Ss � <br />pS ISbO� �S��A�E <br />Mail Address <br />Square Footage (If residenlial new construclion, remodel or addition) <br />Number of devices (If low vollage) <br />City <br />Cily <br />u <br />Slale/Zlp <br />SlalelZip <br />9paa7 <br />Phonc <br />Phonc <br />7y13S7� <br />Phone <br />��- oa� <br />City of Everett �usiness License NumUer (requircd) <br />� ��J �oo <br />Conlract Price of Work <br />Conlac� PersonlCoNact NumbedEmail <br />Descnption of Work to Be Done: `� l.� ��� q_ul � i � l 4 V rQ � <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS 1105 <br />I hemby certily thaf 1 have read and examined this applicafion anU kno�v the same to be tnie and <br />conecL All provisions ollaws and ordinances goveming this type ol �vork will be complefed <br />whether specdied hemin or noL The granting o/ a peRnd does not presume to give authonty fo <br />violate o� cancel tbe provisions ol any other sfate or local law regulating construc6on or (he <br />performance ol construcfion. That I am aufhonzed 6y the owner o/ �his property to perlorm fhe <br />�voik (or �vhich application is made and 1 comply with the Stafe Confracfors Law 18 27 RCW and <br />296.200 WAC _ <br />C)%ZZ IS <br />nr v�seu anmr✓.�n iu <br />FEE <br />�3 s� <br />PFRMIT# <br />E�5o7-(52 <br />