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� — <br /> ELECTRICAL PERrVIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR �'TREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �`��. �� <br /> C 1�I09—O.�� <br /> lZD � �'✓w�/� vt..a^^ t�J..--j -#lU 3 <br /> PROJECT ADDRESS �� <br /> �� �ve%� �I�S3g �'ue�e.'f� I� `l�i2d: ���7�67Z <br /> �� btailAddress Ciry State/Lp Phone <br /> �� ?.�J�� �Fhl t✓T �f�-��2d I ��7'��i� <br /> �✓a �v►"° <br /> Tc nt Mad Address City Statc�Z�p Phone <br /> 1/pr �. �o ��Sz �Y6� o�.�'R r��"/dd" �/36 b <br /> Electrical Contrector tdaii�ddress Clty StaleZp Phone <br /> ��C� �C.� S�2 � �`� � �� ��� <br /> Stale License umber (reqwred) Cdy of Everett Business License Number(required) <br /> � f""� � v <br /> �.�L.� ��a-c�. z2 ?22 <br /> Propased Use of Budding Coniracl Price of Work <br /> I I7 I.� 1 J�LLC� c7� � <br /> Square Footage Qf esidenlial new conslruction, remodel or addition) Contacl Person/Contact NumbedEmail <br /> � ufb � f 6 '7 �� � <br /> Numbe�f devices(�f low voltage) <br /> Description af Work b Be Done: � /���- ��CG`—�- U "v ` <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �O�� <br /> 1 hem6y certrfy fhat 1 have read and examined this applicafion and know fhe same fo be true and <br /> � conec(. All p�ovisions ollmvs and ordinances goveming fhis fype ol work wdl be completed <br /> whefher speci�ed herein or noL The granfing ol a permit docs nof presume to give authonty fo PERMIT# <br /> violate or cancel fhe provrsions ol any other sfate or local law regulating consfruction or the r � �O�y � O� I <br /> pe�lonnance ol consfn�ction. That!am authonzed 6y fhe o�vner ol this propeRy fo perform the C "I <br /> work Ior�vhich applicafion is made and 1 comply�vith thc Statc Confracfors La�v 18 27 RCW and <br /> 296200 WAC. <br /> R�� � `� - <br /> � atur 'Date <br /> RE195E0 G&C6201J <br />