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� - -- ---- <br /> ---–------ -—-- — -- <br /> ---- ------� <br /> , ELECTRICAL PERMIT APpLICATI(�N <br /> I � CITY Q�F EV�RETT PERMIT SERVIGES <br /> 32GU CEDAR STREET, EVERETT, WP. 38201 <br /> � 475-257-8810 - FAX 425-257-8857-www_evereth�;a.crg � -�S "�y <br /> (_/�108 -O�� <br /> y�I S(- ��s s c„v;.,� �R <br /> PKOJECTADDRESS <br /> �aN �1oRkrinAr�� �/(�/X —(3nstwur� P2 GuFa �> / �170,3 � <br /> Owner MailAddress —� ��— ��f 752-5�j / <br /> City SlateC�p phone I <br /> � <br /> Tenant Mall Address �,N — -- I <br /> Slate2�p Fhone <br /> UVrnwAkt ���,�c P.u, aot Yo�ly O�cccu.c� w;� 9So� s v6-79�66� <br /> Electrical Coniractor Mail Address Gty i <br /> Sla�elZ�p Phone � <br /> I <br /> UV�nt�Eiol 7�� u i �. V�� nonc F I5�1� <br /> Stale Gcense Number (�eqwred) I <br /> City of ere!1 8usiness License umber(required) <br /> i <br /> FroposeA Use o(Building — —_ , <br /> Conlract Price o1 Work i <br /> Square Footnge (II res�denlial new cunstruction, remodel or add:!ion �M �J�—79)^ �b / — I <br /> ) Conlact Pe:son/Conlacl Numbed[maJ <br /> � <br /> Number of devicas(7�low voqage) I <br /> Descriphon of Nlork�o De Droe: _,_�_p G� 2��7 �'�t A �� u N! % <br /> I ------------------ _ <br /> fEE � <br /> CI7Y OF EVERETT LOCAL SALES 7AX CODE IS 71G5 �D��"� � I <br /> I hemby certdy Ihat I have iead nnd examnred(his applicahon and know fhe same(o be true and <br /> correci. All pmvrsions o/laws and oNinances govemrng Bus type o/woik will be comp/efed ----- <br /> whefher spuci(ed hercin or nol Lhc tlr�n6ng o/a pgmpf dOes•iN presumc to give aufhon;y�o PERMITN <br /> violale or cance��he provrsions o/any 0(her sfafe orloc;l!aw regulaGng consliuclron or�he (y q <br /> ��/o rvh ch npplsta orn�s n 3/de and r eomply a�lh fbe Sfafe Corni1ecto s�a�v iB 27 RCW and � I � D'" � O ` <br /> 246 200 6VAC. <br /> I C fe V��IS� -- <br /> f-���--- Uate —.-._...----- <br /> � �_r: s�,�osm.��„� <br /> ----�- -------._—.__ . _.—�-. _ - _.- ------ � -- --- --- - .i <br />