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Jul 29 15 02:21 p <br />ELECTRICAL PERMIT APPLiCATION <br />CtTY OF EVERETT PERMIT SERVICES <br />3200 CEGAR STREET, EVERETi, WA 98201 <br />425257-SSjO - FPJC 42&257-8857 — wvnN.everettwa.gov <br />��.d S� ����1t �la.f 1 v.�� <br />PROJECT ADDR'cSS <br />Owne� <br />Tenant <br />-, . <br />Electrical C�ntrector <br />��'� ��'_ � 5 <br />l,1aA Addmss <br />MailAddress �— <br />'.�c �nc U�1Z5 l � <br />IAail AEOres,^, <br />��F� S ET �- I I �o <br />State License Ncmber (requir d) <br />Proposed Use cf Building <br />Square Footage (II residential new consVuctian, remodel or addi5on) <br />Number of devices Ql lovivaltage) <br />Descnption of Work :o Be Done: <br />GTY OF EVERETT LQCAL SALFS 7AX CODE 1S 3tQ5 <br />Ciry <br />r.ity <br />c rf <br />Sla:C'Lp <br />slatrlLp <br />p.2 <br />�'i7i�� <br />v88`'c <br />Ptwne <br />Phvnc <br />LIzS- <br />��� <br />Fhorte <br />02-51 �-t5 <br />City et Eve�ek Business License Number (required) <br />Contract Price af Work <br />1`-1 � ( <br />Cont+ct <br />I hereby ceKity fhet 1 have �ead end examined this applicotion and know the seme to be true and <br />correcL Al! provisioos of laws ond ordinanres goveming fhis typa of wor,� will be complo7ed <br />whether specified herem or not. The gronting of� pemrit docs not presume fo give atfhonfy fo <br />violate oi cartce! fY.� pmvisions of any other stafe orlowl law mgulab'ng con:;Wction or the <br />peAormance o/ conslructlon. Thot 1 am authonzed by the ownerollhis property fo peAorm the <br />work fcr wnich appficah'on is made and 1 com(.Jy with the Sfoto CortLadors Lavi ig,27 RClNand <br />246.200 61'AC. <br />-�Iz�)r� <br />YE��52DG69S7]H <br />FEE <br />�'�50�? <br />PFI2h7ITif <br />E 150�-22� <br />