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r � • i <br /> EL CT ICAL PERMIT APPLICATI� <br /> CITY F EVERETT PERMIT SERVICES <br /> 32 0 CEpAR STREET, EVERETT, WA 98201 CI,�O � I7S <br /> 425-257- 810 • FAX 425-257-8657 —www.everettwa.org g a -�3 <br /> 3003 w a5�� <br /> d- � 8 IST�.2No��a��'ze <br /> PROJECT ADDRESS <br /> Ei.U�. �B 37o G�' `l�/Z -��o �25- .5�0?;2/,Z/ <br /> Owner rdadAed .a Gry State/Z�p I Phone <br /> TenB11t tAa�lA04 se Clty S�aIC yX� � � Pp=ne � <br /> -�C��eaa��'�rn �o � !„ 98z����� - ' 9 -�-� <br /> Eioctrlcal Contractor Mail Addr•�e City S�alo2p pnono <br /> �'��v�,ecc g -r_ _ � <br /> State License Numbcr Conirad Priee Work <br /> Proposed Use of Building Contaq Person (Plan F}ev��w) <br /> Square Fomagn(If resltlential n wnswcti n,remoee!o�addd�on) i , <br /> I <br /> Numbnr ol devlces (Il low voitag I <br /> i � <br /> Oeson�tion of Wark lo Be Done: _��____y / � -- <br /> _9._ /�.��/�'-�'-�_ _ - � <br /> ' FFF <br /> CITY OF tVtRETT LOCAL SAI. S TAX CO E IS �709 �/7� � dD <br /> �Aen:by certify thnf I have rnnN x�d examrneA hls application nnd know(�e snmu fo be We nnd -- - _ �. _ <br /> cone:f. All provis�ons ol laws an o�dmances ovaming fNs rypo ol work w%ll be complefed --- � <br /> whot�e�speci�ad horn�n ornol. o granUng /a pormrt der.s nof prnsum�fo yivu auf�onty ro GEk <br /> vio!at9 orcancel fhe provisions ol ny oMer st le oNocaf law m6ulabng conshvcfion ortho <br /> peAamrnnco ol constnrc7ion. 1'ha I am eulho ed 6y(he owne�ol fhis property lo pedomi the ¢-{ _ —�--- <br /> work!oi wAlch epplicahon Is mado an0 I compl wi�h fhe Stafe Conhacfors Law 18 27 RCW and � L <br /> 296?OD WAC � ' <br /> Cd/!'lE �D �Ge <br /> 5 nature oata ' T��� • <br /> RFNSFDYn'n " ""— �=�-.J <br /> I <br /> Tit a6n,� LS4AL5ZS7.b6�l ���o�dOZ 00 EI9Z-OC-�J(1V <br />