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� <br />� <br />ELECTRICAL PERM�T APPL�CA710N; <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820� <br />425-257�8810 - FAX 425-257-8857 — www.everettwa,org <br />� ��� S��-s k-L��`1 � <br />I'ROJECT ADDRESS <br />OWPer Mall Addr�ss City State/zip Phono <br />� <br />Mail Atldress <br />� � C�.u� �Vtiw��� r� �- � <br />Efectrica! Contractar Mail Address <br />�'zW- �M oG� � �"6�' . <br />Sfate License �lumber (required) <br />(' �`M V1�rc,c <br />Prvposed Use of Building <br />Square Footage (If residential new construction, remodel or addltfon) <br />�� - <br />Number of devices (If low voltage) <br />pescription of Work to ae Done; <br />��7'y OF EVERE7T LOCAL SALES TAX CODE 15 3105 <br />� <br />ciry <br />ciry <br />State/Zip , Phone <br />� r�.-d�- 1�? � q U Z� 32 �f�p(� � <br />b g <br />�ratP���r, Phone <br />��5 �5� � ; <br />City of Everett Business L�cense Number (requlred) <br />� � �� ,D�,% ;_ .. -. . <br />Contract Price of Woiic <br />� <br />. � i '. n . ��� , n. , <br />�ontact', Person/Cont <br />��. G4mar��C�.i <br />i <br />� <br />� � I i~ (D � � <br />1 herehy certify fhat 1 have read and examined this applrcation and know the same fo be <br />correct. All provisions of laws and vrdinances governing this fype of work will be compl� <br />whether specified herein or nof. The granfrng of a permlt does not presume fo give autf <br />vrolate or car+cel the provisions of any other state or loca! law regulafing construction or <br />pertarmance of construcfion. That / am authorized by the owner of thls prop�rty to perfc <br />work for which application Js made and f comply with fhe 5tate Contractors Law 98.27 F <br />296.200 WAC, _ <br />� r - - <br />p2FV/SED ORk76��94 <br />and <br />fo <br />the <br />/and <br />� <br />� <br />CONi�Vi U,11 i c:C�:.�-i� :�i�� <br />FEE <br />� �� � <br />i <br />� <br />i <br />T0/ZB �JtJd QNOW�JIQ b06��Zb5Zb 60=9Z 5zezrzz�tie <br />