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--•---- --- --- - ---- --• -- - -- <br /> ELECTRICAL PERMil" APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � <br /> I 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everellwa.org <br /> �� y635 f-awl�i✓ ,�-v�e- I <br /> � PROJECT ADDRESS <br /> LaS� G� � � �iI yl ''�� l��W�rr �ve �Vc.'YE='�' y�5'.30_3_Z55:3 <br /> Cwner (da�lAddicss City State2�p Phone <br /> � <br /> Tenant MaJAdCress Cily SlatelZ�p Phone . <br /> L�nr:Q�r r��t�r'L ���f /�JN'' /1-u�/11E Zw �,,...a� � r'../���cQS� �lZS- e35 -Z7�`( <br /> [Iec�ncalContraclor MallAtleress Cdy StatN2�p Phene , <br /> Ll�,d�e� rtia6��rs <br /> State License Numher(required) City of Everett Business license Number(requued) <br /> � 3�ia <br /> , <br /> f'roposed Use of Building CoNracl Price o(Work <br /> ���� � yZ5• n6�/- �l973 <br /> Syuare Footage Qf res�dential new construction, remodel or addition) Contact Person/Contact NumberiEmad <br /> kumber oi devices(It lov�vollage) � <br /> i <br /> Descriplion ol Work to Be Done: �t���i ,U i'- � ��'�j•�' �h �� <br /> i -- - <br /> FEE ----� , <br /> CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 yO -DO <br /> I hmeGy cerirly fha:f have�ead and exammed fdis appGcaGon and know U�e same to be frue and <br /> conect AI!provisions o/laws and ordinances goveming this type ol wodc�irll be completed I <br /> :•.hefher specficd herein ornoL The qranling ol a permd does not presume to give aufhonty(o PERMITti <br /> vro�ate or cancel fhe provisions o/any ofher sfate or local la�v�egulating conshuchon or the r r �D � ` ��� <br /> i perlom�ance ol cons6uction That 1 am aufhonaed by the o�vner ol lhis propeRy(o perform(he t <br /> ;�or1r!or which applicaGon is made and I compty�;rfh the Stafe Confracfors Law 18 27 RCW and I <br /> 296200 WAC I <br /> ��l`F/--�-- <br /> I S� ure ��le / � ��', <br /> ' . �,,:: . .-, . - -- -1 <br />