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; — <br />i <br />� <br />ELECTRICAL PERIU�IT AF�PLICATION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 - v,��nv.everettwa.org <br />� ��v � � l'.lP r n u- a� � , °I U° 20 � <br />� <br />� PROJECTADDRESS <br />i � a`' <br />i u � c c.��lMn �(pZ 1 �.�12V" E¢a�, � <br />� Owne� i,1a�.1 ACtliess � C�iy <br />I �' � � t!`�Cw <br />I 1 V-U pl Lln.' � ��M ��LZ � :�-I CV'r.��-OQ�.. \ <br />� Tenznt � L;alAdaess Ciry <br />. �V� � �O_�f"�L � ��b <br />Contrzctor ldaiiAaeress <br />I�ti�n �- � r�c �� �� ���� <br />Sa!e License Numher � <br />� � G�� Sn� OV� <br />i Frcnosed Use of Bui!ding <br />I <br />� Z � UUc� <br />j Square Footage Qf residential ne•,v conshuclion, remodel cr addilion) <br />II �S-�-i- L�o;.Er f <br />' humber of devices (If to�v volfage) <br />�' Desc�iplion of VVork to Be Done� <br />i - <br />i__ �=����Pc1 ct� <br />C„y <br />� , A,�nu�1:�Zo w. � c � �c �S - <br />i ---�— - - <br />Siat��Z�.o <br />�3 <br />i <br />I <br />�yi fcC M HrJ1S � <br />Zo(o-Z�iu_3Z�5� <br />?nonz � <br />State�Z�p Fhon� ; <br />..5 ���012 uis3S`l � I�G2; <br />StaIHZ��.p PhCne ' <br />�_Zc T7�'a o� <br />Conira� Piice o� 4Vork <br />Ccntact Persan (Plan Revie�v) <br />1,.��u :—.-. - <br />� � �t --- I <br />I (� <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � j`�" � I <br />iI hereby ceR�ry thaf I have read and examined thfs applica(ioi� and kno�v lhe same (n be Irue anJ _� l/ ✓ <br />conrcL All provisions o/la�vs and ordinances goveming �his type ol v�-ork �rdl be cornpleled <br />I �,�helherepecilied herein ornol. The granfing e(a pe�mif daes nol presume fo yive au(ho�ity (o PERh1ITtJ <br />viola(e or cance! fhe provisions ul any olhersfale orlocalla�v iegulafing const�ucfion or the <br />pe;formsnce o/consfiuction. Thaf I arn authonzed bylhe o�•merolfhis propeRy fo per/onn Ihe E I j� O- I�� <br />�norN lor �•�hich application is made and I compty �vi�h Ihe Sfafe Confractors La�•� 18 27 RCW and <br />290 2OO V✓AC. <br />U-7_y— <br />m<v�seu 1-r: u <br />� <br />