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ELECTRICAL PERMIT AQPLICATION <br /> CITY OF EVFRETT PERMIT 5ERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 99201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa org <br /> l --D9-�5 <br /> E- i�1 ..o�( g <br /> ,,: <br /> _ O� �-�. �'�,s��%c' ' ���. <br /> PROJECTADDRESS ��!</:I J'/Jl-L%FQ <br /> ��.�.�r -J�;i9[c- /is�/`=/_/,a�0 f-'i�nr�,„- � it. <br /> -- - - � --- ---- ---�__ _— -- <br /> Ovrne� MadAddress 7 Gity SIa1e2�p Phonc <br /> ���-<�/�r _ �- J-:�A« ��3JJ�9 ��� cd��==�•_: __�. <br /> -- - - -- -- -- <br /> Tenan� IdailAddre�s� C�ry SlateRin Phone <br /> i <br /> /� r'- �l J Zd l." G',JI' �f%V <br /> /7 L C"�'A,c.��,�Gd�.: .�r��c E v r,�. �i _ c�.—.i���,/-•�-1��/�_L--- - <br /> Elecirical Contraclor Mail Address �Gry Sta�e�Zip Phonc <br /> 7�C!XI��� C)17.r�l�/ �,% ��C?�`: <br /> �--- ----- <br /> State License IJumber(rr.quired) City of Cverelt fiusiness License Number(required) <br /> / <br /> l)��>�-r �', lG'G� <br /> Proposed Usr.ol f3uildiny j'rn 6�ctl'^' ��(/` _// —�� �(1�/ c I <br /> . 'GG)( 1„ iU � !u//e�t�.� �"Y <br /> Square Footaye(If ie,identiat new conslruclion, remoAel or addilion) Cuutact Peison/Cnnlact NumbedEmail <br /> � .� - - <br /> Number uf dr,vices (Il low volinge) <br /> Ocsr,riptian of Work to E3e Donc �S+�I i i1« r. ��- ' - -- <br /> . f`,��•_ �i..;�n-<�� ,Jt .:pl� .�... <br /> ---- ----- ---- -{� __-- --- _ --- <br /> ,/ i <br /> N UCV FL=�7N_ C.:..✓r��C/J-"L c7G?1�-Li-J_�_ . __.' —_ . '— '—__ ._ <br /> F[F <br /> GTY OF EVERETT LOCAL SAL[S TAX CODE IS J105 I (� Z � /l <br /> / �� <br /> I hemlry cerirly Ihaf I havc mad anJ e���inrinuJ fhr.:.ippGcrdion�ind knntv fhe snnm lu bc Iruu rind _. ---- .. .-- _ -- _ _- <br /> roncr.l. �II prnvi��ons o/I;nvs and orAmnncus�nvr,nnny Ihr.;typn. ol work will bu crnnpinled - -..- — . . -- <br /> � w6rlhw;peciGed hcrem rn nof. ihe gr.urfiny o/a pennil docs not presurno(o yivo.�ul0onty In PERI•11T/! ��/�- <br /> viuGrtn o�r.,�ncol Urc�rowsions ol any olher s(�fc o�local Im•i myulnhng com,;f�ur,bnn o�IAr� V"t <br /> I perinrrnnnr.r, of r.nnsln2linn ih,if I om mdlronzed by fhr, otvnnr o!fhis piopr,riy fo per/nnn Ihe E I � O ( � <br /> I �vork /ur which pplicafinn is rnodr. r�nd I r.ornply r�i�lr llic Sfafr. Cnn6;iclnr�Law 18.27 RCW and _--_ . __. . --- -- - <br /> 29G 200 WA <br /> f / <br /> -l-.�= %� _ -� � �i�G' ,��:'s - -- - - - --- <br /> . ,/ S�qnalm ��uoio <br /> rn rr i n n!tnr.ror� ' <br />