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��.L� c Jl �i ( � <br /> � ` � <br /> — -- ,� -- <br /> ELECTRICAL PERMIT „PPLICATION <br /> CITY OF EVERETT PERMIT S��2VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org 6 -ia -i3 <br /> � �-�du��o6 <br /> �?-`� ���� <<���,���� ��� ��� <br /> PROJECT ADDRESS - <br /> ��;<<��-C'�,�.�- ' � 1Z`-� C.� .:,�1���.�:��`14�� �����-1 � ��;� �"�� -C�k.`A�� <br /> OWflef MnA Address CiN . Zip Phme <br /> �� rY�. <br /> Tenant Mail Addmss City Stete2�p Phone <br /> 1 � � . u � < < . > > , j�.:� �4 <br /> � �-�.� �1��,�� � ��`�'���-� !.� 1 1 - ,_�t.��. � �_�y- i� _ ��� ,;�k <br /> Eledri ,ontrac�Or Mnil Address City StetelLp Phone I <br /> , C <br /> ��L-�1 ���L�-- � I��ILI- ����� � - <br /> State License Number Conlr nce of W� <br /> ` �1jLL � �.) ��` ( � <br /> Proposed Use of Building Conlact Person (Plan ReVlQw) <br /> Square Foolage Qf residential new conslruction. remodel or addilion) <br /> Number ol devices(If tow vollage) <br /> C__�y� ��{ <br /> 'i Descnption of Work to Be Done �, �.d �\� I � �_ ��- '� � �"� �- ' 1 1—�-. <br /> ��C. 1��l.lL •tC��%S <br /> �� FEE <br /> �� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '' �t,� ��' ( � <br /> I hereby certily Ih,rt 1 h.ive IPefI71I1fI eA'AI111/1RfI IIIIS fl(]OBf.Hl10l1 HO(J A110W UIB SlI71C 10IM IIIIP and - ' <br /> r.arrect. AO pmvisions o�I��ws and ordinnnces pavemin,q Ihls type ol worh will be complefed <br /> whefhei specdied herein o�not The yranfing ol e pemiit Aces rrot pmsuna to_4ive authonty fo PERMIT# <br /> wolnfe or c�ncM fhe pmv�s�ons ol any ofhei stefe or lor.nl Inw regulefing constnicfion or fhe � <br /> I pnrfomionce ol r»nsfnir.hon Tbef 1 nm authonzed by the owrrer o/fhis pmpr.rty to qeAonn fhe � � �� l. -' ' �� i' <br /> wnik lor whir.h npplicnhon is rnade nnd 1 compty wifh the Sfefe Contrnclors Law 7 27 RCW end <br /> I, 296 200 WA� <br /> ' �` /l.�v � /1/- ,.�. �� 3 <br /> , � Signplu�c e <br /> I <br /> I <br /> �� i.r�����i i. �.�..� <br /> i � . . . __. _ ._ ..__.__ —___-__—_.—__.— _ <br />