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� � —. <br /> EL,ECTRIC�4L PERMIT APPLICATION � <br /> C�TY QF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -�tivw everett�va.org <br /> �S !S �/�1�,, ��`� �A-2��v�r�; 6✓A �g?� <br /> PROJECT AODRES �A,z p� S�3 <br /> Te� L�i�� 4�� ffo/!� Dr. .�ve�'ef� h'A �BZ�� ��tlQ <br /> O�M10f �daJ Adyrco� City S!ate2p Phone <br /> Tanant r;all AdC �,s City StotetZ�p prone <br /> �W N.�/, <br /> EleGtrical ContraelOr t;an ACdress c�ly Sra:clZic Fncnu <br /> -State Lieon.e Num6er(required) Ciry of Everett Busmess License Number(requirt» <br /> Proposed Use of�uildin; Ccnlracl Pnce of WorK <br /> Squars Footage (If residential new construction, remodel or addilion) Contact PersonlContacl Number/Email <br /> 2 <br /> Number ol dedCe,(14Iow voltage) <br /> Description ot Wark tv Be pone: � // C e/ / � '�+A�GY�• <br /> ��l/ SL4 ' 6�%- �54�6 q �o i' pa,�,�v.�- ----- <br /> �ce-- - b <br /> CITY OF EVFRF7T IOCAL SALES TAX GODE IS 3105 /^D 6� <br /> 1 hnreby ceMi(y that 1 hav�ioad and examined fhis applicafion and know the sume fo be fnin and _ r/ <br /> cnmut. All provisions o/laws and ordinances govaming fhis type ol work will bc cvmplekd <br /> whuthe�spueifred heroln or not T)re grdn(mg o1 a pormit doos not prosumo fo glvo oufhonfy to PERhiiT# <br /> violafo oicanr.e/fho provisions olany ofherstnta or/ocallaw regulatinq consfrucfion orfho E �5 D Z✓��� <br /> perfwmance ofconstruefion. Thaf I am aufhnnzed by fhe owner of this properry(o pedoi:�i tiie <br /> woik for which applicotion is metle ond f comply with Me State Conf�ctors Law 18.27 RCW ond <br /> 296.200 WAC. <br /> _�_Z:�� Z/s/zo%s <br /> e D�— <br /> RB:IScDG:�C'a^.Jl1 <br /> Ifi , . ..�.i:�; . ' i :rl ....fi-]J !"�TTF,-L 'E--��'h '. =ET FTI'�: ir,� :-.,-� <br /> � <br /> .__.. _�-, � .... .,v;.� ._n- __ . __—.—_.._.._.. _. , . ,`� ri�� .. :: <br /> e��� � � 'P^^�;, ... . . . J '�N`i� <br />� �:".{r�V5iu1�`�Y�tiiS�'i�..����'�EL^ie. .. i����''n!'.�d� , . <br /> _ �tstia�l3.zc;�..rb;.iz..��,as�y,4.x. .. �D.a,an��X�P�af�,c�'" �:�:..v <br />