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� � <br /> _ ----- -- - -------- - - -- _ . _ - � <br /> ; <br /> ELECT�2ICAL PERMIT APPLICATION i <br /> j CITY OF EVERETT PERMIT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ' <br /> 425-257-8810 - FAX 425-257-8857 — v�nrm�.everelhva org , <br /> i <br /> � <br /> ' ��j 2 �+ • � �„�. <br /> � L O���ei, G/ r' <br /> I <br /> PROJECTADDRESS � <br /> �%7ijls.. �r�/r-,- ��/� Lo�? 'l /�u-<- /9/rZ 9�� l - � !I <br /> n�_G.. 2S-�` <br /> � Owner tdad Address Cny SlalelZ-p Pnone{�J;' <br /> / <br /> � ` .�� i <br /> I ..J " <br /> Tenant Mad Address Ciry State2�p Phone <br /> ' Q/i"5?1i P�Zi lG-/'-u=-� . <br /> � EIeCIriCalContraClOr A1adAddiess Cdy StatelZip Phone � <br /> � <br /> �� Slale License P�umber Con�raU Price oi Nlork ' <br /> � Proposed Use of Building Conlact Person (Plan Reviee+) � <br /> � I <br /> � Square Fomaye pt res�dential new consirucGon, remodel or addilion) <br /> i � <br /> � Number uf devices (II low vollage) <br /> Descnpt�on of Work to Be Done� o A�'� Q�� `^�7�'''�'� � � <br /> i <br /> i <br /> FEE <br /> �' CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 �� S �� ,I <br /> 1 hereGy ce�idy tliat I fiave read and examined fhis applicaGon and kno�.v the same fo br, Gue and ----. i <br /> I coriect All provisions olla�vs and o�dmances goveming fhis fype ol wo�k vnll be cnrnple(ed <br /> I c�hether specdied he�ein a noL The 9ran(ing ol a pe�md does not presume to give autbonty tu PERh1I'1# <br /> ' wolafe orcancel the provisions o/any other s(afe or local la�v regulating consfrucGon or Ihe il <br /> ; peAormance o(conslrucfion 7hat 1 am authonzed 6y Ihe owner ol�his proFeRy fo peAorm(he E �� � - �7� i <br /> wo�lc hr�•�hich applicafion is made and 1 compty u��lh fhe Sfafe Confracfors La�v 7827 RCW and _J , <br /> j 296 200 VVAC. I <br /> / I <br /> � � � .,. �'�1, fs'.� <br /> S�gnaturc Date � <br /> � I <br /> I � <br /> � ;.Gei,_.,.... . <br />