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, - - — ---- <br />ELECTRICAL PERMIT AP PvICATION <br />CITY OF EVERETT PERMI <br />3200 CEDAR STREET, EVERETT, WA 98za� <br />425-257-8810 - FAY. 425-257•8857 -'++ww everettwa org <br />� -- - -- - - -- � - - <br />� 3 0 � r(o i �p,,f <br />PROJECT ADDRESS <br />�t/L 5 i � (zn/ <br />Cvmer <br />W/; 5(-II�IG i o�v <br />----� <br />ldad ACdress <br />': � / C /fL <br />Gry <br />G%-,au fJ <br />S;olerL�p <br />S /Iev�,C —.—.�— <br />�enant <br />btai: Atldress City <br />i ,vL !-�N.t/�+iuu:� <br />I� t%iZR 5✓N E���` �� _-- <br />!/ ' C dy <br />EleclricalConlraclor �.Sa�iAddrer-s <br />i1JC����rovo B� <br />State L�cense Number (required) <br />/"1 En �cq-� �— <br />PwposeJ Use of 6wlding <br />Square Foetage (II resideNial ne�v construction, remodei or addifion) <br />Number o( devices (It low voltage) <br />�p� ` crr.c���5 <br />Descnpticr� of Wark to Be Done <br />sia«iz�P <br />w� qg�'7 <br />StaterZ�p <br />Phone I <br />PhOne <br />Phone <br />v 37 Z3� <br />Cdy of Everett �3usiness License Number (required) <br />.re <br />� �7G _ — <br />Contrec� Price of Work �� <br />� � <br />T� azs 3aa__ � <br />� <br />Contacl Person/Conlad Number/Email I <br />F'-�� I?,- r�'� 0 G r,2 S <br />FE[ 1 I <br />5��v � <br />�, CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � —I <br />I hcreby r,ertdy fhat 1 have rcad and exemmcd this .applicatron and kno�.v Ihc saoic fo be In�e �ind �--_ .— -. --- <br />1 <br />coned. All provisions olla�vs and md�nances govenan9 t"is type o/n�ork �vill be complcled II <br />whe(her speci(ed herem or nof The g�anfing oI a pe�mil does nof pmsume fo give aufho�ity fn PF.F.hllTfi I <br />violafe or cancel the provisions ol any ofhe� s(afe or local law mgu�afing construcfion or fhe r I� h�—�O � <br />C � <br />��Ipe,dormance olconsfn�ction. That I am aufhonzed by the owner o( (his property fo perform the _-- <br />�vork tor which app6cation rs made anA I comp�y �v�fh the Stafe Contraclors La�v 18 27 RCVV and _ <br />� 296200 W . �� �-- <br />I ;w- z� .� '��a��J/-s <br />� <br />,.� <br />