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O5/2712O1J 05.21 <br />� <br />� <br />#2340 P.001f001 <br />EL�CTh?IC�►L I�ERMIT APP�.IC�►TION <br />�i'TY C�F EVE�t�TT REFtMIT S�RVICES <br />32R0 CEDAR STR�ET, �VERETT, WA 98201 <br />425-257-8810 - �AX a25-257-8857 — www..everettwa.org <br />/� y ��S �v► A p na� � <br />PRO.lECi A�R�t�88 <br />Qwner <br />. Mall AQdress <br />City <br />��S <br />� �3 <br />� ���� ��� � <br />State/Zlp Phone <br />Tenant Mail Address Clty Statarzip �� P.t�one <br />.6C' <br />�L�.! l� <K C .3�01 6`U�"1L��'fi' , Lf'�ll � �`'�''�' '��-Z/� <br />Electrical Gontractor Mail Addrees <br />L; "`�/N r�y�� T�C� + <br />State License Number <br />cJ �� <br />Proposed Use of Building <br />Square Footage (If rasidentia) new construction, rempdel or addltion) <br />Number of devices pF low voltage) <br />DEscription of Work to Be f�onB <br />IaC�vS� <br />`�aO �f-�l/� , <br />� <br />Ciry StatelZip <br />r"" <br />Contract F'nce of Work <br />' Phone <br />Contact Parson (P)an REview) <br />QQJ1.�'� f1(,��./7��' <br />p���- - <br />� . �EE <br />� �� �����s <br />CITY OF EVERETT LOCAL SAL�8 TAX CODE I3 3905 �� � <br />1 hereby ce�tiiy that 1 have resd and exarltined this spplicetian anQ knaw the sarr►a to be tru� and <br />carrect. All provlslaRs of laws and arctinancos goveming thls type of worlc will be compl�ted <br />whether sp�cifiad her�in or nof. The gra�rting of a perrnit doHs not presume fca grve authority to PERMIT#' <br />vi0late or cancel fhe provisions ol any other stale or IoCal law �gulatrrtg consiruction or tha <br />partormance of cpnstruction. That I am auihonzad by tha owner oithis property to perform th� E���y 5 g�� p <br />work ior which appl�tion is made and I comply with thQ 5t�te Gontr�ctors L�w 18.27 RCW and <br />296.200 WAC.•i// - <br />v /O� <br />,.` <br />�0/f 3 <br />