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' ELECTRICAL PERMIT APPLICATION <br /> '�, CITY OF EVERETT PERMIT SERVICES <br /> ' 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —v✓ww.everettwa.org <br /> II ��— �6—/�/ <br /> /.�� /� L-�i �l �l `�17 <br /> ��"03 � o r <br /> i PROJECT ADDRESS <br /> � <br /> � �o�� � ry 3�0� ��1� �vo =�✓r �k�v/ <br /> i Owner MadAadress � CAy State2�p Phone <br /> i <br /> II <br /> � Tenant fda�lAd�ress City State/Z�p P^one <br /> �06 <br /> /f/o v� r o ��e c ��i`i� �y�°'Os7` s�a' �.,��� i,�a ��"�� <br /> IedricalConiraclar :dailAddress Crty State2�p Phone <br /> /�/o �-r � .� �' /73 �iP v�� �� <br /> Slate License Number(required) Ciry of Everett Business License Number(required) <br /> � oe <br /> ��� <br /> Proposed Use of F3wlding Comract Price ot Work <br /> t <br /> Square Fooiage(If res�dential new construction, remodel or addrtion) CoMacl PersoNContact NumbedEma�l <br /> ' Number of devices Qf low vo8age) <br /> I Description ol Work lo Be Done: �!� a!' � +� C oH«[��-'� a Nof �� � <br /> FEE <br /> i <br /> �, CITY OF EVERETT LOCAL SALES TAX CODE IS J105 � � O <br /> ; I herebv crrtdy fhaf I have read and examined this ap�'ica6on anAknow Ihe same to be frue and <br /> Iconect Atl provrsinns ollaws and oidinances goveming Ih�s type ol work will be completed <br /> whefhcr specdied hemin ornot. ihe granling ol a permd does nof presume fo groe au(honly fo PER141T# <br /> violate or cancel the provisions o/any other s(ate or local law regu/afmg consfruction or fhe <br /> perlormance oI consWction. That 1 am aufhonzed by fhe owner ol this propeRy to pe�fomi(he E � �l� � �! � <br /> work lor whrch applrca6on is made and 1 compty wdh the S�ate Confracfors La�v 18.27 RGW and <br /> 296 200 VVAC. ` � <br /> ` / �� G <br /> ignal re Oa�e ,— � � <br /> AEw5C0 ap 9§p0�� <br />