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�- --- - — -- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, V•��' :`8201 <br /> 425-257-8810 - FAX 425-2�7-8857—www.everettwa.org <br /> 5 -�4'�3 <br /> C� 3o9-I I� <br /> �4► �Ipr � D� <br /> PROJECT ADDRESS <br /> ��N�v �u7'MA�N�- f'a/Ac�..� D� �-��r ,,�•� Y87.o3 �'v3-8�i- v�t <br /> owncr Ma�i naerass Gry SLmefLp w�«,� <br /> Tenant Mail Address GIy Sb�dZiP �aK <br /> n1�nt- �'I,F�I�[� ?o0y/da�"� A�'� nic" R'FbMOr�O w�1` 9�uf2 �fZT�'�la�d'y <br /> Electrical ConttOdor Mail Addras: Ciry SlalelZip Phone <br /> �r iv1oE`E:c Hz6� 8 � RJb. ., <br /> Slale License Number Con�act Pnce ol Work <br /> Proposed Use of Building Contad Parson (Plan Review) <br /> Square Foolage(If residential new const�udion, remodel or addAion) <br /> Number o}devices(If low voltegr.) <br /> Description o1 Work to On Done: i't14-Na1'�C (.��KS�D`U <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 � ,l O6 <br /> U <br /> 1 hereby cedily fhal 1 have�eaJ end exammed Ihis epplicelion nnA know fhe same fo be fnie und <br /> conar.f. All provisions o!laws end ortlnrances povamm�this fype ol worh wd16�t cromplr.fr,d <br /> whefher speci(ad herein ur noL The�ranling ol e pertnA does nof prr.sume fo give aufhonty fo PERMRlf <br /> violafe or cencel fhe provivons ol any olher sfafe or locel law re�uln6ng rnnsWc6on or fhe <br /> peAo�mnnce o/consfn�clion Thef/em aulhonzed Ay fhe owner ol lhis prupeAy fo perlomr fhe E ('3 O � _ D 3� <br /> work lor wbich applicefion is made and I wmply wifh fhc Sfafr. Confrnclors Law 18 27 RCW and <br /> 296 200 WAC <br /> ��2��—�'`-_ `�(a3�/ � <br /> s�yoai��� u,�� <br /> nrvrsFn Virvn _ <br />