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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-BB57 —www everettwa org <br /> I <br /> I 1� � �C{SIY�U <br /> � � <br /> I <br /> I PROJECT ADDRESS 9 9�Ot��ji <br /> r / l o � lua ' <br /> � L4iNE`it�l irJ� � e/cy� �DoOo G��J9�/QG� /, �n.�wo _ ----- I <br /> Owner �.1an Add/es: ---��-- C�ty -�� Slatc/Z�p Pnonc <br /> y��E (,���nsr-.�- Prv9�'a.��) 31� _ _ -- <br /> — , <br /> Tenanl tda�l Address Gry Slate�Zip Phone I <br /> � ��, � I�',i( c�� �o �x �2�9 n'I�-. 1�,��� (�4 ����3--��_ e�9� <br /> �t��e/ �e ,�A ra ,� <br /> i ElCdncal COntfBctor ldad Addr� Gry SlateiDp Phone <br /> j��,��c-ecgo�I �� �� '— --- <br /> State License Number CoNrad Price of�Vork <br /> �' �, (od-��0�7/O <br /> ,��oo(i,�l /Eo(uc.v�i.>,� // �.,,er- 3------ <br /> Proposed Use u�ding Contad Person (Plan Rev�ewl <br /> � <br /> Squarc Foolage(If resiAen6al new consliuctwn, remodel or adddion) I <br /> Nurnber ol devices(II low voltage) <br /> DescnplionolWoikto�eDone /� ST'¢� � ��� � �� �eyC �G..C�AC/'�' ��_ LD N�`j_ <br /> ---------� �- — --—�-- — — - �Jl <br /> � n . . , <br /> _(-o r C�-Yt u�_e,� E� .�__�E�°F F. E�Li s_T�_ c� rc�� '�-._ . <br /> ------ --- -- ----.—_._ —__ — -- � <br /> r�e —_ -- — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 y� �v � <br /> � J <br /> 1 hereby cohdy Oraf 1 have rtad and�.arninedlhis apphcnfion onU know fhe sanre fo be hue anJ _ _. . ---_ ._—__ --- -- <br /> r.ortr,cf nnnro�•�s����s���aws and ortlmanCes goveming fhis type o/work will be complefed --------------�- <br /> �rhefhr,r spen(ed herern or nof Thc yranhn�ol a pennit docs nof pmsume(o give Bufhonty fo PERMIT# , <br /> � violafe orcancel fhe proviswns of any other sfafe or locnl lan�mgula6ny conshuchon or fhe � I �O I ' n�� <br /> peAonnance of consf�uc(wn Tha(I anr auflronzed by Ihe oivnr.r o/fhis prope�ty fo pedorm fhe (� I <br /> �ao which apphcehon is made and 1 comply wrfh(he Slrrte Contracforsl.aw 18.27 RCW and __ <br /> ' 6 200 WA C <br /> -��y�.,`���'�`',-'�� / /3 � � <br /> ignature Z�r�%i' _. ale � <br /> ,�ni�rol:aq _ � <br />