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�.�r:/15/i�i;jl�J: 08:�1 .'.',: Greer.��cod ;ieati��g �:.i i;i;.'_IQ6 �6l 6!l0 <br />• • <br />ELECTRICAL PERMIT A�PLICe4TION <br />CITY OF EVERETT PERMIT S�RVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 • FAXA25-257-8857—w�nnri.everettwa.org <br />�oo I I Lor,-�bc�rcl /-�v e <br />PROJECT ADDRESS <br />Cn�ci�, S+�� <br />oW�a� � <br />�o� i <br />Meil Adtliee9 <br />cav <br />F. OOi%(,'fll <br />c���6..��� <br />E �No �`°q3 <br />StatelZip <br />C��-Zs) <br />�03 2683190 <br />Phono <br />�� <br />Ten2nt A1ailAddress City Stalo/Zlp pnone <br />�20�) <br />�s Vn�� ��rsh Elr��-t-,-,c c°�25' S. S�-C�cv �. j��;-I}�c 4�Sr3� 75�252 <br />Contracto; 67silAddress <br />/� s you �l �nl q 2s N NI <br />Stale 4�ense Numbor <br />SF2 <br />Proposetl Use of BUUding <br />( O% C-G <br />Squara Footage (if resitlantial new consWctlon, remotlel or adtlition) <br />� <br />Number of devices pt low voltege) <br />�escription OF WOfk 10 Be DOnC: <br />t,l/Q � � il �Cr'f rr <br />CI7Y OF EVERETT I.00AL SALES TAX CODE IS 3106 <br />S�ate/Zip pnone <br />� 3.3c� <br />Conlratt fice of Work <br />Contact Person (Plen Revlew) <br />i hereby cortrfy thof I have reed end exsmined this application end know fhe same to bc frue and <br />correct. All provisions of laws antl ordinanees 9ovemin� Ihis type of wo�k wiq be completed <br />whofher speci6etl hemin or noL The grnnting of a pomrit does not presume to give �uthonry to <br />violBhe o�cancel the provisions o� any othorstefe orlocn! �nw regWafing consliuc(ion o�the <br />padamrance ol consVucfion. Thet I nm suthonzed by thu o:vner o/ fhis pmperty to poAorm the <br />�wrk fo� which sppiicalion is mede and I canply wifh !he Sfate Contraclas Lew 18.27 RCW nnd <br />296.ZBQ WAC. <br />T <br />RCV15:D 3: ✓IS <br />CC � <br />F[E <br />g0� <br />PERMIT# <br />El�{v�f-oq3 <br />