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-- � _ --- <br />ELECTRICAL <br />- - � -- -- - - <br />PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.gov <br />IG�6 �� E��2�-t�' Ivi�� 1�t`��� ; S�t-� �E�1 � E�/�P-..�iT� wA <br />PROJECT ADDRESS <br />� f r� �(C UEI` " Fi'�i�e-77 � vI C�v�c,.� -S� .�E�t7-rC� (,L�/� <br />Mail Address <br />c�ty <br />State/Zip <br />��/�/`,�{ -�T{kl= F ( �'�:1 <br />Tenant Mail Address City State/Zip Phone <br />k <br />Contractor Mail Address <br />�V �r ��--� � � Cv c� �C� <br />State License Number (required) <br />C�:1� 1�-'� 1-'f2, L i iA � <br />Proposed Use of Building <br />( ��' �x :�'-� <br />Square Footage (If re idential new construction, remodel or addition) <br />1�//� <br />Numb of devices (If low voltage) <br />City <br />c�'rr fi�CfZ.1:J. (3�=� � 1 � � <br />--� <br />State/Zip Phone <br />Z� � 4�%- �?ht(4, <br />��� � � <br />City of Everett Business License Number (required) <br />Contract Price of Work <br />Z5 3 1��� - �C1b0 <br />.��s}� 7 c� �l S✓/-�FtG T{�riJ Jv j)Cl2� o(Z. <br />Contact Person/Contact NumberlEmaii HVAC-EL.Ec.. <br />Description of Work to Be Done: ��� �Y� (���v��, ��� ;4' � � ( / � � L. , c_i f=• <br />i <br />.ZIvSt�Au-- �z 1 �v� Lv �eC���C.l i-.7 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that l have read and examined this application and know the same to be true and <br />correct. Al/ provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel fhe provisions of any other state or local !aw regulating construction or the <br />performance of construction. That I am authorized by the owner of this property to perform the <br />work for which application is made and I comply with the State Contracfors Law 18.27 RCW and <br />296.200 WAC. <br />RE1/ISED 08/06/2014 <br />FE� <br />� ��,�-�' <br />PERMIT# <br />E I`�I I `��� <br />