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' ELECTRICA� PERMIT APPLICATION ' <br /> CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 Cf:DAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 • F�\X 425-2:i7-885i - www everettwa org <br /> Cy�J�Du�l2,� I <br /> ?307 � � ai-+5 <br /> _�� i��� f o � ,�/' <br /> PROJECT AUDF!ESS <br /> I �f zS —��c� ' <br /> ' �Q �!i � .3Q_i_(f3 �/'Cx.�.�r �=.i t/�r �A 1 FI_Zv <br /> � r� v_ ,--, ,ti(.�G ._ e�, --- �3___._��.1'_�_ _ . <br /> Ovmcr 'd, �I Acdress Gry State�7io Phonc <br /> Tenant h1a�l Addirss Gry Slate/Zip � Pnore <br /> s 6�� -6;� <br /> �rsi c� r�Lc.�,-rJ � G� � �/ 7:' �i��`"�� •�E /� .a,�.•�•-���L� ✓_•4 9�Z�a_ �zrr� .-- <br /> ❑ectncal Contraclor tla�lAadress Cty Staee2�0 Phone � <br /> I <br /> I � JC��G��!_7Ui /C/ b�? �-L/ <br /> I State Licecse Number (required) City ot Everetl �usiness License Nwnbe� Ireqwred� <br /> i <br /> 3on —' -_ <br /> Proposed Use ol Bwiding Conlract Pnce il Work <br /> �7•rr _-_�(nJ- 6�9/ - Sszt� _ <br /> , Square Footage (If residenbai new construcnon, remodel or addiUon) Contacl Perso�'Contacl NumbevEmad � <br /> ���, Number ef dewces (II low vo'Iaye) <br /> i <br /> I • <br /> Descnption ol ti'Jork to He Done ����1 r..- L�t..•., � ./ 2C�.r- -- . ---- - . . -- --_ .---- , <br /> i <br /> � ----�-- ---- ---- �--�� -- ----- --� -�.—_ --- �I <br /> FF[ -- _ _._ — I I <br /> ao , <br /> GI7Y OF EVERCTT LOCAL SALES TAX CODE !S J10� a� 5n , / <br /> I horehy cerhly lhaf I h.ive�esd and erar�un^d fhrs apphcaGon and hnow fhe same lo be frue and �----. _— _� � <br /> cuner.f �il pmvisions ol la�vs and ortl�nances governrng;his lypr of�ti•n�M �vdl Ge cornplefed ���- - --i . <br /> �. �nc�lhe� spcu/mJ hcm�n or nol The 9��mfrnp ol a pcmuf dor.s nof pretiume fo yrve aufho�itY fn PLR�•11T;% I '� <br /> '� v:oWfe o� cancel fhe p�ovisions ol any uther stafr, or locel law myulnGn�construchon or(he �, ' <br /> peAonrrancr, o/consfnichon That I am aufhomed by Ilre o�vner of this prope�ty fo peAorn Ihe � E I 5l�� � l�� ' <br /> �.. �voik loi whir,h applicahon is mode and I comply wdh the Stafe Confraclors Lmv 18 27 RCW��nA � _________ _ . . _� �i <br /> i 296200W1C �'�, <br /> � �� -- — `� l �'�-—/� ->----- I� <br /> � Siynalure Da1e � <br /> � <br /> , ,, . .� .., . -- --_ J <br />