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� � <br /> - - - ----- — <br /> �----- ; <br /> i <br /> I ELECTRICAL PERMIT APPLIC:ATION i <br /> ; CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> I 425-257-8810 - FAX 425-257-8857 — w�,w✓.everettwa org I <br /> i �2So7 .���-,�.�c � � <br /> iPROJECTADDRESS I <br /> '� dsa7 �ur�r-L S� �.�.-Y�-,; c,u4 9�ui I <br /> I Owner L1a�lAtldress GI� S!ate2ip Phone �I <br /> I <br /> ��A � <br /> Tenant �dadAtl:ress Gty State/Dp Fhone I <br /> I � <br /> o.� ���1�- .�o f.�t-/�:, c�nt�-ca_ t�.rF�8��// K Z�-�hPS-51( R I <br /> Flectrical Contractor LIa�lAddress Cdy Slate2�p Pnone <br /> I <br /> /����'�1�e�9 /� ��v ` I <br /> � S!ate License Number Conlract Price of Work � <br /> � I <br /> 51-�2- [:.�+-'=�•"k���<--- <br /> IProposed Use of�uildmg Conlact Person (Plan Revie�v) I <br /> - 7",�,�-P �(v�� CN I <br /> � Square Footage Q(residemi�l new construdlon, remodel or addition) j <br /> i � <br /> I � <br /> Number of devices(Il low voilage) <br /> i Description of Work to Be Done C�c'�rZ �-�,2c v�'TS, /L ��.r._ �.'n'iP 6LT tT� ' <br /> .—__ _ . <br /> _ 7�m-�O ,�_22f'tc+c^ <br /> F[G <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 e�� �C� <br /> 1 heieby ceriJy U�af I have read and examined tliis application and knu�v(he same to Ge frue and _ _._ <br /> correcL All provisions o//a�vs and ordinances goveming fhis(ype of��;ork w�ill be tomplefed --- <br /> �ahether specilied herem ornoL The granting ol a pennit docs not presume lo give aullronty fo PERP+11Tti <br /> vielale orcancel fhe provisrons of any oU�ersta(e or/ocallaw regulating construc�ion orfhe ' 1 <br /> perlornrance o/conslructrort Thaf I am authorized by fhe orvnero/this properiy fo perlonn the E I � O� _ f,(_ � <br /> work lor whiclr applicafic i is made and I comply�vdh Ihe 5(afe Con(racfors Ca�v 18.27 RCW and ��E-� <br /> 296.200 WAC. <br /> i�f��� Z- ?g�� � <br /> • ., we . Date <br /> FtLICLCI'.lVl) I <br />