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� - . -- --� - - -- -- -- - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � 2 ��I.-/'3 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> C 13/2 -l�/7 <br /> 2 Zo 2- c� C � v�' L�9�d �9 �r- <br /> PROJECT ADDRESS <br /> /"I ti s�lT�t�/ l�1NO Dcv��P _ _--- -- <br /> Owner ' Mad Address Gry Statc2�p Pfwne <br /> Tenanl MaAAadress Cdy StalclLv Phone <br /> �C- 1'E TEl2 SdN ��%�c 7I�rC �.vL L�N�/'^�u� --- -- <br />� FleclricalConlractor Ma�iAddress Cdy State2�p Phone <br />' � CPr- 7� r( � a� � c <br /> Slate License Number Contract Price ol Work <br /> S FO ---------- --- <br /> Proposed Usc ol Bulldmg Contact Pr.rson (Plan Rewew) <br /> � � 00 <br /> Square Fool.+�e Qf residenlia�new conslwchon, remodel or addilion) <br /> Number of devices (II low vollaye) <br /> Descnption o(Woik lo He Donc w/ �'/' /l/��/ /'J�a N S�___ _ _ <br /> FE[ --- - — — - <br /> CITY OF EVER[TT LOCAL SALES TAX CODE IS 3105 g� - OO <br /> I hereby ccrtdy fhaf 1 havc mnd and nxarrrined Ihis applir,xGon end know Uie snmc fo br, huc nnA - -- . .--. .-_- -- <br /> corr'ecf. 1111 provrsions ol laws.ind ordinancr.s goveming fhi.a type ol work will be cnmpleled _ ...-- --�-� � — --- � <br /> whefhr.rspecr6ed hemm ornoL Tho granling o/a permif dnes nol presurne fo�ive aufhorityln PERMfI-k <br /> vml�(e or r.onr,r.l fhe prov�sions ol any other slale or lor.al law mgulaliny consln�clion or fhe r ' ^ I � _ I ,/� <br /> pr.�lomionce ol cnnsfruchon. /haf 1 am aulhon�od Gy fhe nwner o/1/iis pmpeity fo perfomi Ihe C � �t <br /> work /or wh�ch applrcnhon is rnadr, and 1 comply wdh fhc Sfafe Conhaclors(:nv iB 27 RCW and _ -- - <br /> ?96 2 WAC <br /> � <br /> �.�..��_ �_ /�,�= -- -� Z -z 3- � 3 --- -- — . <br /> - - Slgnalum - - - -- - -Oale <br /> Hf V�Sf O NiYI) <br />