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Jun 09 15 02 55p • • P 2 <br /> �LEC`TRIC�4L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> � 3200 CEDAR STREET, EVERETf, VVA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wwvd.everettwa.org <br /> 6 -io-iS� <br /> � �3i�o �� <br /> I �� � Lc; v�, ��.r- � ��- il-e._ <br /> PROJECT A�DRESS �� .�3�_�f� � <br /> I �JY i 1A) �l t � 1 S G 1 �v vr�.b�z2� ��-11-� �c�U`�-+�-���+ lU�� <br /> I ��ner 1daA nddress City Slate2p �,�a�I Ptone <br /> I <br /> Tenant nta�,i Ewaress c� <br /> /�, SWIe/G0 PMno <br /> n �-{� 17 S-7`1-hl-J v�"1 c�.<'�5 '�S-LId.�-9 <br /> f 105��'� I�1 �Q{-ta�� VY�CwVSV� ll,f IA.'O. �i S'��v <br /> Electripl Contractor 1,taii Address Crty Sta;e:Lp Phone <br /> i�o rccs6�G �i �5�--I� (i y a'� 4 ) <br /> State L�cense Numher(tequired) - Ciry ot Everett Business Ucense Number(required) <br /> 5 l ��l.0 �-)C'���.c�,c.� <br /> Proposetl U o Building 1 Contract Price of Woh <br /> y�o.rci5�"oc,�V�G (aLo�Nc s�. <br /> �.e, <br /> ��('15�1"1 CY �C�I� L-� <br /> Square Footage pf residential new corstruc;ioq remcdel or addition) Con!ad Person/Contact Number/Email <br /> l <br /> Number of devicas(If low vollage) <br /> DescnpGon of Work to Be Done: f�jLl , v � , 1�—j��4 i <br /> FE[ <br /> CIN OF EVERETT LOCAL SALES TAX CODE IS 3105 ��� <br /> � <br /> 1 heieby certdy fhaf!have reaJ and examrned(his app6cation and know Ihe samo(o be truo and <br /> cn�ect. All provisions of/aws and ordinances goveming this lypo ol work viill bo ccmploted <br /> whethor speci(iod herein ornoL The nranfirtg of�pormd does nof pr6sumo fo give aufhonty fo PERP1IT,� <br /> wolate or cancel fho provisions o(any o7har sfo[�e�local few regulating consWctiwr orlhe /� <br /> perfarmancc o/cousfiuch�on. Thot!am authonred by the owne�c/lhrs propeRy fo pedorm fhe E� I� o/�.,��� (�� <br /> vrork lor wh�ch applicafion is made ar:d l comply with the Sfato Con7actors Low i B27 RCW and v! �-11 <br /> 296.200 WAC. <br /> l� <br /> S`'�lG'1.�—� �-� -/�� <br /> �gnaWre Datc <br /> R_'l'i:ED Cd95?J I� <br />