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Der lE 2`.�14 1 � 28PId Gtnera�l Construr. t ��on Company �10. �616 r 4 <br /> , -- — __� — --——- Gv L_L/L;l�Z <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425 ?57 8857 --www.everettwa.org <br /> Ui��i2 -/yo <br /> �f � /�O-5� i�- -i �r-�`f <br /> PROJECT ADD SS �— <br /> f�1,�'� Po� 3-�1�7�'�_��l 9fT/Z�/2Zo7 �15� 3�Z_ZL?� <br /> Owner �And Adaress Gly SlalelLp Phone <br /> ienanl MaIIAdE�ess Cly SlaielLip Nhona <br /> .�/�i�1s,�l11�/� .2�,//���,��5���1��Z75 Z5z9�!/9s�� <br /> Eind�icaiCoN�aclor �aaunearess Cny Slale�Z�p Pnone <br /> ��� $ oz -- oyq599 <br /> Staie L�cense Number(ieqwrod) City of[vowtt Bus�ness Ucense Number(iequiretl) <br /> /�, aD0 <br /> Proposed Us=of Bwldln9 ConUect Prico af Work y <br /> Square Foolage Qf residon�al new conslmclioq remodol or add�hon) Conlact Poison/Contect NumbeUEmad ` <br /> Num6er oi devtces(II low vnitage) <br /> DeScnpUon ol Work Io l3a�one�. ____.��r�,i' �/�� � U��!� _ <br /> FEE � <br /> Ct7Y OF EVERETT LOCAL SALCS TAX CODC IS i7'�� �RD 0a <br /> l/ <br /> I Aereby ce�idylhof I have rend end ernminetl IAIs nppllceflon enAknow(he sema to be G�e end . _J <br /> ronec� All piov�sions o/lews end ordinences poveining Ilu;type ol woM wlll bo complelod ���`7�� <br /> whefher speclfied Aereln or nof �Ao graNiuq ofa permll does nof prasumo lo grve aulhonly fo pERMTfJt / '7 V <br /> violafe or cencol!ho 0�✓�sions ol any olhar sfafe oi locallavi iayulafing conslmcbon or fhe <br /> poAonnanco o/consfruclion. ihaf 1 arn aul�onzed Gy the owno�ol(Ns properly(o poAom�fho E l �I� � � <br /> wortc loi which app6cahon is nrade and I comply wifh Ihe S/alo Gonbac(ors Luw 18.77 RCW antl ,____ <br /> 296 200 W�C. <br /> , � � , <br /> pnaWre Dn e — <br /> wcwsrouaanaou <br />