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ELECTRI�AL PERMIT APF'LICATION <br /> CITY OF E�/ERETT PcRMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �` � _� � <br /> C /3p5 —(�7 � <br /> � c3�� ��.(�^✓L' C�/�—l'1 os�/ <br /> PROJECTADDRESS <br /> ��,� , ,G/ �' � 6a/ �'o�s'r�/? s� o�.����c�,�'�/.�.�i��;�f <br /> Owne� Mail Add�ess Ciry StalelZip Phone <br /> aoti ��s 9s�� <br /> Tenan� Mail Address City StalelZip Phone <br /> �-.���.� � � �—�(.,?� r�sT,!',� s6vt��/ /�r,L��l1�/Sh� �,�. <br /> Eleclrical Contractor Mail Address City Slate2ip Phone <br /> Slate License Number Coniract Price of Work <br /> i-.�/17f'/i d',d f� � � �".�. <br /> P'roposed Use of Buildin� Contact Person (Plan Review) <br /> Square Footage pf residenlial new construction, remodel or addition) <br /> Number of devices Qf low voltage) <br /> Description of Work to Bc Dane: ��1 fC�����/�� �v � U_LJ�L.C�4 � <br /> 1�1� '/ ���/��F��,G_,�jf1�i,Cc 6S fiC�l//�,� /.f !� �'.n T� <br /> G �� ,L�� �L/ �"� t����,r. T/ ��Q,���' DG�L07� <br /> FE[ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 SD 'O O <br /> 1 hereby certilylhaf 1 havc�cad and examined diis application and know the same fo 6e true and <br /> conccf. All pmvisions o/laws and orrlinar�ces goveming fhis fype oI wo�1c will be comple�ed <br /> whether specified hc�cin ar noL The granfing oI a permd does nof presumc to give atdhority(o pERMCTA <br /> violafe or cancel Ihe provisions of any other state or local law regulafing consfniclion or Ihe � <br /> perfonnance of cons(n�c(ion. Thaf 1 am aufh�nzed by fhe ownerol fhis p�operty to pedorrn the ( � _ � �r <br /> watc(ar whir.h application is made and I! nply with R�e Slate Confracfors Lmv 18.27 RCW and <br /> 298.200 W�C. <br /> �_C_ ��,�'.��a/ S �° -i3 <br /> �� r� ualc <br /> nrwsen'utrv�� <br />