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- -- - - -- ---- -- i <br /> r I <br /> I <br /> ELECTRICAL PERMIT APPLICATION i <br /> � CITY OF EVERETT PERMIT SERVICES � <br /> � 3200 CEDAR STREE�i, EVERETT, WA 98201 � <br /> � P -?�--I?j - <br /> 425-257•8810 - FAX 425-257-8857 - www evereltwa.org <br /> I �l.� ll � l� vl <br /> � <br /> ; �2 �� Z� ��''c r S-� ��Pr�e f-� Gl/�- ���� � <br /> � PROJECTADDRESS � I <br /> I � I <br /> � rcJa �� c� O — ff h �i /q � S4�r�el� � ,t <br /> iJ . - -- --- ---- ------ _ _. .- - --- -- - — -- � <br /> � OwnCr MailACd•ess C:y Sl�i'e.'lip Vnore I <br /> � I <br /> � '__ ____ "'._' ___ _ '__ -___ .___ '__ __ .'._._ I <br /> i lenant Ida�lACdress Gry Sta!MZ�p Fnone I <br /> I <br /> i C (2(-�il/� ELPc'7P�C �1 �/2 f�r/� �'� � _ �;�� Cdi? 9�5•�< <br /> , hleclncalConlraetor 1.1ailAddmss Crty S�a�e�De Frene I � <br /> � <br /> � c,e �N�E � 9�sM,� ���oo� _ ; <br /> I Slate L�cense Number Contract Pn�e ol Woik - - - - � <br /> �tlPn _ jzs.�� �� - �.� -� � <br /> Proposed Use ol Ouildmg Ccnlacl Person �Plan Rev�ew) � <br /> I /�7/7!1 j <br /> 47 �� <br /> Square Footage pl residential new conslruc'�on. remodel or aAAdion) � <br /> I <br /> � <br /> Number ol devices (Il low voll�ge) � <br /> Desrnption ol Work to fle Done. ' " !ri / ^ ��� l�� ��.�D L ,�/ . /' f'�� '�G�S'Q <br /> -----i. . _ — -- - - — - �----- --- <br /> I <br /> - --- - -- ---- _ Ilf�l_— S E r V i C e=—- - - i <br /> I <br /> --- -- ---- ------ -- - - --------- - - -- i <br /> --- _ I <br /> - - - - <br /> iFEE - - <br /> CITY OF EVF.RETT I.00AI SALES TAX CODE IS 3705 I �/1 �/u <br /> I Imre:by ce�hly Ihaf 1 havc rcaJ �nd erarnined(Iris apphr.afron and know fhe sarne fo he I�uc anA �----'- v- --_ . -_.- I <br /> corrrrl �II provisions ollaws and orthnarices govemrny Br�s fYFe nl work rvdl6r, cornplefed •- � - � - ---� --- <br /> w6efhc�specdicd hercin ornol !he g�unfing ol n pemvl Aocs nof presumc lo�7rve aufhonty fo � PFRMIT# <br /> vidafc or conccl fho p/ovisions ol any ofhcr stalo or local low rryuloliny consbudion nr Ihe I ^ � � I I _ I -] (� <br /> ,�edorrrrance ol consfruchon Thal I nrn authonaed by(he owner ol fhis property fo pedomi Ihe C l � <br /> wnM for wh�ch applical�on is madc nnd I compiy wiHr Ihc Sfafe Conf�nclors 1 aw 18 97 RCW anA � _ <br /> 195 'l.UO WAC � <br /> �IX C'� � ii <br /> - - --- -- - --- -�� �------ -_ <br /> S�gnatwe Uate <br /> � <br /> �vc��s�c;r::�, <br />