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� <br />�e <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVEREit PERMIT SERVICES <br />3240 CEDAR STREET, EV�RE7T, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />1s.20 S� Ev2re. Mo�11�-��q <br />PROJECT ADDRESS /� <br />�-�S �e-o�t� ' �\ � <br />Owner <br />Tenant <br />Eledrica� Conlr2Ctor <br />jllall Adtlre35 <br />il Addres,� <br />3.�vv <br />Mad Address <br />f�c.��sz(�-�pF- <br />State license Number <br />City <br />b\ <br />aty <br />Sfato2lp <br />l l <br />phone <br />CRy $talrJZip � PhOne <br />��.ov <br />� � <br />Cantract Pnce of Work <br />�-Q�.1� i Pp� 15 <br />Proposed Use of Building Contad �erson (Plan Review) <br />1�-�-. �ec�ri' C, <br />Square Footage (If resldentiai new construction. remodel or addl�on) <br />�o� �.�> �Z- 6-2..'LS <br />Number of devices (If low voltage) <br />DesC�lption oi Work to �e Done. ����/E � 12 •LS' i 1'�S `�+°r l� '�Q!�,�"Sj Z'�Q <br />qTY OF EVEREtT I.00AL SALES TAX COdE IS 3105 <br />! h�reby cedi)y lh�t I have read dnd eramined lhis �ppiication and know fNe same to be trve and <br />conecL All prov/Sfons of laws and or0inences c�oveming this lype oI vrork vdll be complefed <br />whethor speclled hpruln or not. Thp granfing o)a permft does not prcsume fo give euthonty to <br />vlolato or canceJ lhp prov;sions oI any olhe� state or local law regulofing conslruc6on or fhe <br />po�formance o/constrUc6gn. That I am authonzed by tho owner ofthis prapoRylo peAorm the <br />work lor whrch eppNcah'a(i is mode 3nd � comply vdfh 1he Slate Controetor5 L2w 18.27 RCW and <br />29B 200 V/AC/ � � / / <br />agvrsE� vnna <br />lZE-i 100/IDO d 28E-1 LIBSEfBE52 <br />FEE <br />(00 �� <br />� <br />PERMIT# <br />E I �d'� - c�3S <br />�181J313 �Y-VYOHd OO�Of 510i-90-93d <br />