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I -- _ _- -- _ _ __ - -- - - _ <br /> ---- - i <br /> ELECTRICAL PERMIT APPLICATION � <br /> I CITY OF EVERETT PERMIT SERVICES ' <br /> 3200 C[DAR STREET, EVER[TT, WA 98201 I <br /> 425-257-8810 - FAX 425-2bl-8857 - www everettwa org <br /> i /J <br /> � �-�� /,v ��'� i � I��% <br /> i PROJECT ADDRESS ' , / � ' ^ - I <br /> i <br /> i _1 S�C , , ic t.� �.o ��' � , /� `�7.�� � <br /> __.G'_J_ y __ Y�_-'t v-I !/ � I <br /> Owner 61aiiAddress C�ty Slale�T.�p Phone I <br /> i � <br /> I d � <br /> � k_,j-�.sdl��sj_S/�u, �,os;,�� �: L„.. ., ' 1,,,s ���%�s __ i <br /> I ienant M11adAddress Gry StateZo Phone � <br /> �.� , � , �) <br /> ' 1� / l��il �-/l�l'<—La�/l���f'i�� 5C l�C �i/�'�7� G�;�4 76,�cs� 4�5 553YSy� <br /> Fle Ir �alConUaclor MadAearess rGry StatelLp Phone <br /> I ��%r, �c : C '-! 7`1 S:,L ���? @' <br /> � State Wcense Number r Conlrad Pnce o(Work <br /> I � � � <br /> /c. f. , ---- ---- <br /> Proposed Use ol Buiirhny Coi4act Person (Plan Review) , <br /> � <br /> ISquare footage (If res�denlwl new conslruchon. remodel or adddion) I <br /> I Number of devices (II low vuitaye) � <br /> I <br /> IDescription of`.Voik lo f3e Oone f�/r��i,. .i � l�n,r�� e� �� J-^L_cy��,:, le-y�✓r/'�.�yr1s1 I <br /> � - - -'-,�`-- - , - _ � <br /> ..,,.._' X�r..._.r ,y-��_o:� �a.G�i�C_-5�----- ---- --- - <br /> - � ----------------------� ------------ -- . . <br /> I <br /> IFFF - - --- -- --- <br /> CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 � '/ 1 JU i <br /> �/ <br /> I hemby crrtrly fhaf l liave ro,td and crarr;rneJ Ilus nppA�:�6on and tinow fhe sanre fo be tn�e,inA - ----___ � <br /> corrocl All prnvisrnns o/laws and o�dinances yovemmg(his type ol work wrll be coniplefr,d ------ - � <br /> whefher specdicd hmerrr or no( The ynnhny ol a pernnt docs nof presmne lu ywe au(honty fo PLRMITk � I I, <br /> vwlate oi cmicel fhe provisiorrs ol:+ny :fher sfnle or local law agulahng conshuchnn or fhe E �3 �� ` 2.�e.� I I <br /> pe�lom�ance ol consln�cGon 7ha11 arn,iulhonzed Gy fhe owne�ol lhis property ro perlam Ihe � <br /> �rork lor�vlrrch apphca(ion is made and 1 :onipty wr(Ir fRe State Contrncfors Luw 18�%RCW nnd _ J <br /> 796 20 V✓AC � <br /> Q � �.��' <br /> _ _ _�-'� ���1//,'�,' U�/c�..r 7 �7 . 'i�_ I <br /> � nat — A�r- Date ' i <br /> � r <br /> , � <br /> / � / i � <br /> m ����� � <br /> —— ---- _ -- ---- � <br />