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V�ay. ;. 2C14 E:23�Ni No.499p P. 2!3 <br />ELECTRICAL PERIVIIT APPLICATION <br />CITY OF EVERET7 PERMIT S�RVICES <br />3200 CEDAR S7REET, EUERETT, WA 98201 <br />425•257•8810 - FAX 425-257�5857 — www everettwa org <br />, <br />���„�,�, `�' �,, a�-- <br />PROJE'C7 ADDRESS <br />Ovmar <br />Tenant <br />MBiI Addresc <br />Ma�l Address <br />EiedncaiContracmr � MailAGdress <br />G-sN� ac �'3q �K <br />Stale License NUmbef <br />Proposr.d Use of Building <br />Square Foutage (It residenlial new constructlon, remodel or eddiuon) <br />Number of tlevices (lf low voltsqe) <br />Gity <br />City <br />c�y <br />Slale2p <br />Slalc2p <br />S��`T <br />£ �yos�.�3Y <br />Pnonc <br />PMOnC <br />State2p Phonc <br />/,06/ _ <br />ConVnct Pncc of Work <br />Guntacl Person (Plan ReNew) <br />Description o� Work to De Done J— A�,S _� �-M � ` ` �_���J <br />oc_f (�. � <br />CITY OP EVERETT LOCAL SALES TAX CODE IS 9106 <br />I hc�cby cem�y fhat I havo road and exominod fhis appirca0on and know fhe same fo 6r. ln�c end <br />cortr.cL All provisions oflnws ond orzl�nances govoming fhrs typo ol work will Go complofoJ <br />wl�efhr.r apeci�ed herein or no[ Thc grnnGng el a p¢rmR does nat prnsume la yrvo �uthonty (o <br />viola(e or canco� the piowsions ol nny ofher sfafe orlocal low ieguleGng conshudion oi (he <br />performance o/conshuction Th�f / am authonted by Iho owner o/ ffus piopeRy fo peAorm fl�e <br />wo�k Ior which epplica�ion is msJr and I rompl y wi(h fhe Sfatc Contraclors L�w 1 y.l //iGW anU <br />29G.200 WAC. <br />R��rseo nvu <br />FE[ — -- - - —� <br />��0� I <br />� <br />PERMITlf <br />E i �to5-Q3�{ <br />