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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STRELT, EV[RGTT, WA 98701 <br /> A25-257-8810 - FAX 425-257•8857 -�rw�.v everethva.org <br /> 23 il C�f✓�LqN� q�� - <br /> PROJECTADDRFSS � <br /> f�G`! �LLPr�[1^�T I`I92S_ (l,� { L AJL' N� L�RL7.�SIoTc'�'�S LJP S'd?Z3 ' <br /> OWnef RimlAddtrss G;y Statel2ip Phonc �. <br /> Tenanl fdaiAddress Gty StatelZip ` Phcnc <br /> Na(.{�,� 2�JLL £�t�Y�.�c. (ZSO`I S�S��` tIJC �£ �Jf7C'� L,}+ S�Z D� <br /> [ledncal Con�ractor �da�i Address City Slale�Z�p Fhcne <br /> NO/z.—y2E9�2TS ---y�—�----. -- <br /> I Stale I �cense(Jumber Cont�act Pnce ol�12rk <br /> Z£Si-��N'T'�t-AaL <br /> Proposed Usc of�uiNmy Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Nuniher ol devices(If low vollage) <br /> �� —'3 L£�s P�a c�C S T� /cZ Tc r/�,�J <br /> Descriplion of Work:o �e Dnnr. �i 7,� ---------------- <br /> �avL c�.E 3h-;K2�)`^ LZrTNT Pty�T✓2� ---- ------.._. <br /> F[[---- <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS J105 �`j D . � /i <br /> ✓ ll <br /> I hereby certdy fhal l have iead and ex,mined fhis applicafion and kno�v Ihe sante fo ho h��r.and __--__ <br /> roriecf All proNsions o/la�vs and oNinances governing fhrs fype o/�:ork wdl Ge cornple(ed -----�— <br /> �vhelherspeci/iedheminornof Thogranfingolapermi�doesnofpresumefogiveaufhunfyto PERMIT�7 <br /> violofe or canccl fhe prov�s�ons ol any ofher stafe orlocalla�v regulalu�g consfnichon or fhe r � I L�� <br /> perlonnance o/consfnichon. Thaf I nm aufhonmdGy the o��vnerol fhrs properTy lo perinrm(he C I O��— <br /> worlr/or which applicafion is made.nd I r.omply�vdh fhe Sfale Confracfo�s L a�v 18.27 RC W and —.__.. <br /> 796 200 WA <br /> --y z� �� ------- <br /> Signalure Dale <br />