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Oa-G�-15;0�: 11P1,1,mvta� , 555-t '112 tt ?;� 2 <br /> • — -- . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREE7, EVERETT,U✓A 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org <br /> �� (0 ��5 � <br /> � 150�—b�� <br /> � % . I�' ��.�IP,I'P�,1�11� �b7,0� <br /> PROJECT ADDR6S5 <br /> ���a�r,�tn�� �,�o L�. r»t�� �rer�,� W�- ��.4�---[�.I�v <br /> crmcr Ma�lAtldrese Cuy SIeINLp auone <br /> ��' Q.�,'�i�C�WJ�_2.�Q ��, ClISC�YM � �'1YP�" �h'�'�'b���_���i)�1�0�0 <br /> Tennnl Mailpddreee Clty Statu2�p Phone <br /> I� �2w��� <<� �n t�y��u�n� P�v� _ ld���)����� <br /> ClectnealContrector MallAtltlrese Cy steie2p �'none I <br /> ��', -���-��'i�eLS o3i�u � �i� 1Y�31 I <br /> State Ucense Number(requlred) C!y ot Everetl Bus�ncss Ucensc Numbcr(requ�rod) <br /> �1'YVVY�iiZ`�f�Q `�.I i`�ZIO,"� <br /> PruDoseC Usc ol BUIIEInp Convotl PnCe o1 Wark <br /> '!Ln`{��' ��i25 -�!Z <br /> Squa�c Footaga pl iesidential new tonslrocbon,remotlel or eAdiuon) Contael PersoNCo tact NumbeUEmaA � <br /> Number ol Cevlces (tl low vollage) <br /> Dexalptlon o1 Work�o He Done; A� � � � `' � <br /> .���.e�m��,�o;��' r��L�_ c��rt� <br /> r« - -� <br /> � CITY OF EVERHTT LOCAL SALCS TAX CUDE IS 9105 ,�y�A,� <br /> i �r � <br /> I hemby Certly(het 1 hBve read and examined this appliwflon antl know thc somv(o De frue and __ <br /> cartret. �ll provlslons ol lotvs antl arNln�nces yoveming Mis type ol work w!!1 Ae tompleted �� - <br /> whethrr spr.ci�ed horcin o�nol. 7hc 8�����p o/a permit does not pn:sumo to grve auL7onty In pEPMff# <br /> vlolafe orenneM fhe provlslons o�eny othr�stafe or lacal law regulafing construclion or Ihe E � 5 b� or-� , <br /> parlomrance o!construct�on. That I am aufhonred by fhe owner o/fhis properry fo peAortn the <br /> w � �hlch epplicnUo�is mudc ond I compry wlth the Sfafc Contmcrors Low 1B.2J nGW end <br /> 6 Y00 /1 <br /> � � <br /> ' � alU'C Oale � <br /> Fn�scc owcao�. <br />