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� � <br /> I-- -- _- _ <br /> --- ------ i <br /> ELECTRICAL PERMIT' l�►F�PLD�A�'IC�fV <br /> CI'�Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VERGTT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www evereltwa.org <br /> � , � L/�C(���� ���i <br /> � � - <br /> PROJECTADDRESS <br /> %-//�,� C��,.� �P// - <br /> Cv:ne� fdailA ress C�iy SlatelZ�p Phone <br /> ?enant R9adAddress Cay SlatelLp Phone <br /> � /C�P�''- 7✓�� O257J�� • � �� S�r,�.�tz.'/ �f/� <br /> ����� S <br /> EleclricalContractor h1a�lACoress Gry Slale/Z�p Phone <br /> �" "'v � ��� � �r Conifact Pri[e�rk <br /> Stale License Number <br /> � — <br /> Proposed Use ot Bvilding ' . Conlacl Person (Plan Revie�v) <br /> /— <br /> Syuare Footage Qf residential nevi construction, remodel or addition) <br /> / <br /> Number of devices(If lov+vollage) <br /> Desaiplion of Work lo Be Done: � � �e�`� ���� <br /> FEE ------,��1 <br /> CITY OF EVERETT LOCAL SAL[5 TAX CODE IS 7105 � � !1 J� <br /> 1 hereby certily that I have read and examined this applicalion and hnav fhe same(o be true and _ �/ <br /> correcf All piovisions o/laws and ordinances goveming fhis type oI wo�k�vill be complefed --� <br /> K�hefher specdied heiein or not. 7he granling ol a permrt does nof presume(o give authonty to Pf_RNIIT# <br /> violate o an I fhe provisions ot any other sfafe oilocallaw regulafing consWtfion or Ihe r � �,0 r , O r � <br /> perlom ance o construcfi n. That 1 am au ho ed 6y fhe o�rner o(thrs properfy fo pedorm the C `� 1 <br /> �vork l r�vhich pplicafi isT �nd�y�vifh fhc Sfate Confractors La�v 78.27 RCW and <br /> 296.2 0 VVAC. / <br /> r � �/�l <br /> SignaWre Date <br />