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�li3f �. ���� J 3' ??�i�� ��:'. 3E�J F. ! <br /> - . _ <br /> ----_ <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 -�wnv.everettwa.org <br /> I <br /> ' 11���A v�v-h,� waM I <br /> PROJECT ADDRE55 <br /> __Sat�L yv► � Pru��, e s lu�s� �n�''%s�- �Jl�,�n-e., y�vU'7 ��..:,�� a <br /> Owner A:adAtlCreSs Gly Slalc2iP Phone <br /> I <br /> ' SuY�2�- l��-3a �d���h�.(,vcw �l/PrL(l��c�.(1�-�2�7� ?v(o-43fo-`I)��s <br /> Tenant htoil ACare�s ily SlaterZip Phone <br /> I <br /> I ��S �(, c�..��t r.�,�._�tU°I F.0�+/�t', i�,v� `�u��( �l�.s'-7. rv�(Yv �, <br /> Efe.:s��calConUactor " 1.1ailAddress C�Ip StaleRip Phone <br /> �S+�Tt�Hq3v�- <br /> State License Number(reqcired) Cily of Everelt B�siness License Number(required) <br /> � �eS�d'.�1't�'1 c�.Q �f1)U. U� i <br /> Proposed Use al Bmitling Convact Pnce ot Work <br /> �� I <br /> (n�.r.�Vl �{'in�'l <br /> Squara Footage pf rasidenpai oew cons�ucti�n remotlel or add��on) Co��ct 1'e�sonfCon;act Numher/Email <br /> �tic9sG��-,� , �. <br /> Number ot dovices(I�law voltago) <br /> Dcscriplion of Work;o Ac Done: ^ � `/��C� ��l-� 1l� ��(�.�� X �.L��� l H ���� ' <br /> I <br /> I <br /> F[E <br /> CITY OF EVERETT LOCAL SALES TN(COD[ IS�i06 �D� . <br /> i <br /> I horaby ceti�y fhat I lwve reuJ nnd exnminrd(his applicaGon and know the samu!0 6o hua and <br /> correo! All provlsions o//aws and oidmances govamin9 this typo o/�vo�k wrll he tompleted <br /> �rhethcr spoa�od horein or r,ot The yranhng ol o permit does notpresume fo give authoriry to DERMIT� <br /> vio/afe orcancel fhe prowsions of ony o(herstafe orlocallaw re�ulahnp consVuction or fno <br /> parformunce olconsbuction. Thaf I om autlia�zeU by the o�vner o/lhis property fo perfomi the E (G�D� p �$ <br /> v�ork lor�vhlch opAlication d madc and 1 comply vatn tho Sfafe Con(���tors Low i8 27 RCW anU <br /> 298.200 WAC <br /> // - 3 H�IS— <br /> — S��awre oIc <br /> revaeo au s^.a r� <br />