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�__—__.___—___ '___ ...� <br /> �-- —._. . ' .—I <br /> � ELECTF�lCAL PERMIT A�PPLICATION <br /> � ��� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982U1 i <br /> 425-257-8810 - FAX 425-257-8857 - www.everetriva.org i <br /> � <br /> � 1�ao f�ollv Dr. �✓e����l� WR 98zo�{ <br /> j PROJECT ADDRESS+ � <br /> � �'1vK�IFeo S��oo1 D�sir��cf y�/oi Sl��a,. D� E�c��fr W�t 98Za`1 yLS 3`�1��- ��? <br /> Ovmer hlail Atltlress C�ly S:ate/Zip Phane � <br /> I <br /> TBnanl ;.tail AdCress C�ty State/Zip Phane <br /> i .Skyl;�z Coi„m✓„,�t-.�rs ILooy 8z�eilr I"u,-k P-c1 Ev�1#' l�fi y8zoy 9z5-355- 5��, <br /> , Electrical Conlractor p.1ad AC�ress Gty Sta�e/Zip phone <br /> i <br /> � SkyGlc � 933c�� D �-1 �c5 `1 <br /> I State License Number(reqwreA) Cily of Everelt Business License Num6er(reauired) <br /> SG��ool 3Z,00e.oa <br /> � Proposed Use o!Bwlding Contract Price of Work <br /> � /o, o eo cl�,�s T��y yz S-5�3— 7>b�, <br /> Square Footage Qf residenlial new consiruclion, remoCel or adddion) Contact Person/Conta Number/Email ' <br /> � �D Llnris_trac�,5kyline�oin�n��.�r�.;jie�tiS. <br /> ; ' net <br /> Number of dev�ces(I;lav vollage) � <br /> Description of Work to Be Done. 1"0`'t� Vo! h�q e - 7e I e car� G�b�i v�L`� <br /> �— I <br /> I <br /> � <br /> FEE � D OO <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hemby certily Ihaf 1 have read and examined fhis applica6on and Mno�v Ihe::amr.�(o be h�m and <br /> ca�ecf. Al!provisions ollaws and orJ�nances goveming fhis type o/u�orG wJl be completed <br /> whelher speci6ed herein or nol. The granling ol a permil docs nof presume to,qive aufhodty fo PERMIT# <br /> viola(e or cancel lhe provisions ol any ofher sfale or local law regulating constructian or Ihe ^ ' _(�� � ��� <br /> peAormancC cicons(ruction. Thaf I am aufhorized by Ihe owner o/this property fo peAorm fhe t ��I <br /> work hr�.t hicb applicafion is made and 1 comply wifh Ihe Sfafe Conlractors Law 78 27 RCW and <br /> 296.200 C. <br /> � _ �-G----.��� F'���zd�y - <br /> SignaWm Date <br /> I .-, sPnrar�-o„ , <br />