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( <br /> [ <br /> � <br /> ELECTRiCAL PERIVIf�' APPLICATtON <br /> CITY OF EVERETT PERM17 SERVICES <br /> 3200 CLDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www,everettwa.orp <br /> �� -- 3 � -�3 <br /> C� /�-�o -a� <br /> 10`�1 S�. �\4�r-e.-��nat� v�a-� <br /> PROJECTAODRESS <br /> � M�����el ��� v�.� � � `��� � �u-e�-� rnc��.��, �re.�-e, <br /> Owner MoilAddreco City Slate/Zip Phor�e <br /> c5 oS , ��`�. �ti �o`�I � _�.�,� Vrl�l,� ��«.t.a �.ts�,��t� q�aU <br /> Tenant MailAc n Ciry StatafZJ Phonu <br /> , W�w�.S�.c�-n,�Sv,s��� I�l�l ��,Q o�mino I�r. F�o1-h�l.l 1N � �8�1 <br /> Elednnl CantraCtor Moi ddmse Ciry Stata2lp Phone <br /> � <br /> W�-� �T�S,���/� � � � l �a � �� <br /> � Stale License Number • ' Con(ract Price o(Work <br /> ��o�kee��� ��- ,S11�eSS <br /> Proppsod U59 of Building � ' • Con{qct P�reon (Plan Review] <br /> Square Footago Qf rosidontial new construdion, remodel or addition) <br /> � <br /> Number of devices(If low voitage) <br /> Descripuon o1 Work to 80 oone: ��� I(/l f I `� �' � �° �-�'.� l,(.l I � I��11 <br /> fFF <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 rJ��� <br /> 1 hercby cortity that 1 have rcad And examinod this applico6on and know Ne same to bc hue and J V <br /> correcL All praviciona ollaws and ordinances govem/ng H�is typo o/work wrll be complotod <br /> whollror spec;fiov hdrein or not Tbe grontlng o!a pormif docs not presumo Iv 9'rvd nuthodly lo PERMiTN <br /> violote or cancol Um provisions o/any other sfafo or local law rcUulatinp conslrudion or fhe � <br /> r pedormance o/con5fn�cUon. Thaf l am eulhorized by fho o�mor oltlris property fo porlarm fhe I j J O ' 25 f <br /> i woric lor v �ich applicaGnn Is made and I comply with the Stelo Cdntracfo�Law 18.27 f2CW and <br /> 29G.2 W C. <br /> 1 o�c��;, �� � �� 30 I�� <br /> gnofirtc N <br /> NLVIP,EO 5?�.'1'J <br />