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Mar 31 15 10:43a <br />� <br />� <br />s <br />ELECTRIGAL PERMIT APPLfCATtON <br />�[TY OF EVERETT PE�MIT SERVICES <br />3200 CEDAR STREET, EVERETT, iNA 98201 <br />425-257-88'1Q - �AX 42�257-8857 - Mtv�nrr.everettvva.arg <br />� 3 0 �' ��t.c� �i G �� � <br />p.1 <br />PROJEGT ADDRESS <br />��r�- � � �� ��� <br />Owner �J1ail Address City State/Zip Phone <br />C ��� ��. <br />ienant Mail Addness City �� State2ip U� one <br />��� c�de�c� �-� � �� �v�� � �►�� � �� �� ���- <br />Electrical Contractor Mail Address City StaYe/Zip Phone <br />�`���� � I � ��� <br />State License Number (required) <br />'�e.r�rd- �, .��,���- <br />Proposed Use af Bui3ding <br />0�.51�� <br />City of Evereti Busir�ess License I�umber (required) <br />�g��.ab . <br />Cantract Price of Work <br />�25 v� � 1.�� 3 � <br />Square Footage (If residerrtial new constr-ucfion, remodel or addition) <br />Number of devices (If low voltage) <br />Description of Work to Be Done <br />�� <br />. <br />� O� C�s � I , <br />� � 4�� s <br />---r�r;, --r--- #�- �'3 I t-�- <br />Ci7Y 4F �V�RE7T iQ�,4�. SAL�S TAX C(AQP iS 34UJ <br />Contact <br />! here6y ce�fify that 1 have read and exarnineB thrs applicafion and know the same fo be true and <br />correct. Afl provisions oflaws and ordinances goveming this type of work will be complefed <br />whefher specrfred herein or not. The granting of a permit does not presume to give authority to <br />violate o� eancel the provisions of any other state or local law regulating consfruction or fhe <br />performance of construction. That! am autironzed by the owner of fhis properfy to pertorm fhe <br />work for which applicafion is made and ! comp(y with fhe State Cont�actors Law 18.27 RCW and <br />296. 200 WA C. <br />REVISED 08�D5/2014 <br />NumberlEmail <br />•� <br />�2�pa <br />PERMI7# <br />E� ��o'�-11�3 <br />