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j ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425.257-8810 - FAX425.257-8857—wtvw.everettwaorg <br />�fSoq_ao3 <br />"�600Wcas:Ao ad <br />PROJECT ADDRESS <br />TS la_1 (oqt� . Sw FueA4 vi C?Doq _ <br />Own er Mall Address by Stater2lp P7on0 <br />A TS C*V t <br />Tenant Lin Address Cty Stalw2o 'none <br />E� II EI�c41r L cord_o },c (_vQS Wm�;.xv:I(eggo 12 4a5 kg_ s ks�( <br />Electnali Contractor Mall Address City SWW710 "ore <br />HILL EC*SO o31508 <br />State License Number (requ:red) City of Everett Business license Number (required) <br />500 -- - <br />Proposed Use of fsundmg Contract Pace of Wok <br />Shen: Kay 419S113M <br />Square t•oolage (If resdfentlal new construction, remodel or addition) Contact Person/Conind Numbe ai CxW <br />Number of devices (II fow voltage) <br />Description of Work to Be Done. 4o AM%� 1 pCoV e-'.r&• '45 _-' C A J' anCe-S�_ <br />CITY OF EVERETT LOCAL SALFS TAX CODE 15 3105 <br />I hereby certify that I have road and examined this application and know the sent& to be true and <br />correct All provisions of laws and ordinances governing this type of work will be completed <br />whether Specified herein or not. The granting of a permit does not presume to give authority to <br />violate or cancel the previsions of any other state or local law regulating construction or the <br />perfomtarice of constriction That I am authodred by the owner of this property to perform the <br />we* for which application Is made and I comply with the State Contmrtors Caw fe 27 MIN and <br />MR 9M 11IAr <br />REWIF00"462614 <br />FEE <br />PERMITtt <br />E 15DI-2D3 <br />1L <br />L9/L6 3E)Vd 0IMiD313 3-11N DLEI'SeI•SZt' t1E:60 SI017/6Z./60 <br />