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� <br />)� c�� �- <br />�� <br />� <br />...� ., <br />ELECTR�GAL PERMIT ApPLICAT101�1 �'��'r� <br />C1TY OF EVERETT PERMIT SERV�CES ���' . <br />3200 C�DAR STRE�T, �VER�Ti', WA 98201 <br />425-257-8810 - FAX 425-257-885i — www.everettwa.gov ' <br />� <br />��2- (�'�a� �s,� �� L.�,� � <br />I�ROJECT AD�RESS <br />�a rt� <br />Oumer <br />� �� � <br />���� `��i�'r��t- G� ��-�L� �!S t�.(�� j � l�' fo ?� � i <br />Mail Address <br />City <br />Stat�/Z]p <br />Phone <br />Tenant Mai1 Atleress City State2ip Phone <br />��� �¢l�r=-c�- 17�b i �`'�1. /�l� �il��z_u___ � P�c3 ��.S�Z� <br />c� 7 � r 7 °�i <br />ElsCtfiCal Cont►'actor Mail Address Clty 5tatelZip , Phone <br />- �� D���`� j 11��- <br />5tate License Number (required) <br />S �� <br />Proposed Use of Building <br />�8�q� <br />City of Everett Business License Number (required) <br />���J <br />CorttraLt PriCe of WOrft <br />�,�i�� c � <br />� <br />Square Footage (If residgntial new CpnStfUCtion, remodel or additlon) COf1t0Ct PefsOft/C011i&Ct Nuf11B@�/Ert19il <br />��'� C� ! �7�7 [ <br />Number af devices (If low voltag�) � <br />��(-P�cU,r <br />Descriptron of Wor1c to Be Done: .--Yi i���/� C���f� C�- �� -� �""` "`-� <br />._, <br />Cfi'Y OF £VEFZETT LOCAL SALES TAX CODE (S 3105 <br />I hereby cenrty that 1 hava r�ad and examined this applloatlon and knouv the same to be true and <br />correcf. All provisions of laws and ordrnances goveminq fhis fype af work will be campl�ted <br />whether specified herein or Rof. The granting of a p�rmit does not pr�surrie to give authority fo <br />violafe or cance! the provisions of any other state or looal law regulafinp construclion or the <br />performance of consfrucfion. That l�m authorized by fha owner of this prop�rty to pertorm 1he <br />work for which applic�tion is m�d� �nd / comply vyith the State Contractors Law 98.27 RCW and <br />288,200 WAG <br />� <br />R�VlSED OE.Q9e2016 <br />. <br />�� a <br />i� <br />�EE <br />� ( � �. <br />PERMIT� <br />EI����i�2 <br />ze�ze �Jt�d �I�Il���l� �I�QNd� 998ZZ955Zb 95 ��Z 9iez�bz�5e <br />