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n7110/�G1� 23 55 :5J40 P J01/001 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERfTT, WA 98201 <br /> A25-257-8810 - FAX 425-257-8857—wrovw.everettwa.org <br /> 3 yo� ,��,ff=���--�-� <br /> PR�.IECT ADDRESS <br /> (�M Sri���-l`-�� J <br /> OWner Moil AdCrors Cily S4ttelLip Pnone <br /> � i ��� <br /> Tnnard Maii NdCress CM StateJZip 9��Pnone <br /> ��(,���t 1'r C ,�'0 /�d L' /�� �t/ �'2�1�/ `�'�' �/ri <br /> EleCrical Contractar Mail Addmea Crty StnlcfGp Phone <br /> ��- �Cl"� yZCJ9 / 000 r <br /> State License Numbef Contraci rice of Work <br /> � n <br /> Pioposed se of iV i Contad Person (Plan Review) <br /> Squara Footage pf resideMipl new mnstrutlion,remodel or addition) <br /> Numtxir of tlevices(If low vohnge) <br /> Oescription of Work to Be Done: ��a �(/�����f���. LIIL�G 1 <br /> ,/1'I(�c-�1.�l��Ch� <br /> ��o ']^' S'r)!2�-�—� <br /> F[[ � � <br /> CITY OF EVERETT LOCAL SALES TAX COUE 13 3105 �� �--^ <br /> I heroDy certily thaf I have read and examined Mfs applicallon and know Mo same fo De m�e end <br /> cardd. All pr�visions ollews and orrGnencos goveming fhis fy�of wnrk wiq De complefed <br /> whothor spoc;riod horein ornoL Thn qronting o(a pemid doos rtotpmsume to giw aufhonry b PERMITS <br /> violate or cancel tho piovisims of ony ofAorsfnfe orlocol few repuleHnp construcSon or tAc C I (�o� o� v <br /> por/ortnanca o/consl ction. fiat I am nuthaizud by flie owrrero/this p�vpar(y N padorm dim G I � <br /> wark/or which np 'on is mndo and 1 compry wrth tlio SYafe Conbactors Law 18.27 RCW and <br /> 296.200 WAQ. <br /> sFnsao�� <br />