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— •-- -- --- � – - — <br /> � ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA gg201 <br /> 425-257-8810 - FAX 425-257-6857 -www everettwa org � _a6-�� c7 <br /> �! �{O5'D71 <br /> � � yn5 <br /> �_Co 16v f��enue . �veret�, �,�/�} 98'20l <br /> J <br /> PROJECTADDRESS <br /> Ever�tt PUbl�cSchcnls 39A� 6ro4dwa� �'e►�tf GUAl9�'Zol 425•385• 41 5 <br /> Owner fdall AOOress C�!y �iate2�p Phone <br /> �SAMr� vereff Niq 1 Scl��o� i <br /> enant adA00ress Gry Slete2i0 Phone <br /> � D ; <br /> EIn�Inw1 Contrad0< <dad AEaress Gty Slate2ip Pl+one � � <br /> I <br /> �p l9S000 ' <br /> State license Number Conlract Pnce ol Work ; <br /> �ducati�ona� Qrad �}dCDc%� PE '� <br /> Proposed Use o(Bwldmg Contact Person (Plan Review) <br /> G�/A <br /> Square Footage�If resdential new construchon, remodel or adad�on) <br /> N/A <br /> Number ol dev�ces(II low voltage) <br /> DesGnption ol Work to oe�o�e� NEW �OKlit/ EME�QGPN� �ENER�TOR /QFPLACEME'NT To .S�XI/ <br /> � lu CviNC�$__VoCAT I ONAL � /�uDIT�RI UM.. C�irf��:yQ�iA� L 8[.Q�C S. E✓nE7PGENC�ART. oa� <br /> ��u�G�S No�o2�1�4/�rR f�v�S . N�_/V�W LDADS fIDDED , <br /> FEE !,,�-� <br /> � CITY OF EVERETT LOCAL 5ALE5 TA%CODE IS J105 ��2 O w � <br /> 1 hereby certdy Ihaf I have read and exammed fhrs application and Mnow the same(o be lrue and J <br /> correct All provisions ollaws and o�dmances 5ovemm9 this fype o/work will be completed <br /> whether specdied hereir or nol. The granhng ol a permit does nof presume fo give authonty fo PERMiTu <br /> aolate or cancel the provrs�ons o/arry other sfate or local law mgulating consfmchon or Ihe ^ i � r,� —O-7� <br /> peAormance ol constmchon. Tha(I am aulhonzed by Ure ownei o/f/ris propedy lo pedorm fhe t lJ � <br /> worN lor whicb apphcation Is made and 1 compty with Ihe Stafe Confractors La�v 18.27 RCW and <br /> 296 200 W <br /> / ��/i/// �;P� ra. l3 ./4- <br /> �' Signrlure D�te <br /> .Brad f�dCoc,(� AWA E�ecf7,�co! (onsulfanfs,.Z-n�. <br /> �Ev3E03^.0'r9 <br />