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---l- -- <br /> - ---s - - - - - <br /> �� ELECTRICAL PERMIT APPLICATION , <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR SiREET, EVERETI , WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -v,rww everettwa org <br /> I <br /> ' l93/ ffov� /�v�� �v��l} W�1-98z�/ <br /> PROJECT ADD ESS <br /> u/�1�� N��I9�CG �t1M1�,1�Jf� f�0 Pax 3yl � � s���m w� �n� r��6o <br /> � CYmn; �.1a I Atl�rec5 C Ip Sla'NZ D PP�re <br /> � <br /> I <br /> 1Bfldn� L�3i'Ar].:CSS Cfy $:0'MZip PhC"B <br /> I OW'v\e/Y <br /> ��, E.ecincal Contractor ata.i nda�ess c�i�� siaie�'�p Phone <br /> S:ate L�cense Number Con�ract Pr¢e of VJork <br /> ' Sn4l! �r•N,�, �S��Ptv I <br /> � Prcpose Us�ol F3�.nldr. Contact Person (Plan Rev��ew) <br /> � /532 ' <br /> Square Footage(If�es�dential new const�ucuon, remotlel er adCawn) <br /> I i <br /> I� Number of de�ces pf low voltage) I <br /> 'I /�✓NaK j / L ', <br /> ocscr v:�on ot�vorx w C3e Donc �Q 9�QCP �7 4��J `1G�1�I0n1 CIIZU f� Z(JGm/! (/i?/I'7 '_� /?�7r/�^( li <br /> �� �I��+ch /�C! T,dl/ C�/tdtiT wf Z ' 7f� 4wti ��rs�C.1�� <br /> ', _t�,�K�'�c�,� �✓ c�s��.✓a�l�P✓ 1 3 ctrcl.�i �� <br /> IFEE <br /> i I N� <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � �S lN <br /> iI hereby ceRdy fhaf I have read and examined Ihrs appf�caf�on and know!!re same lo be fnie an�l = .______ <br /> r.orrer.l All pmms�ons ollaws ar;d o�dinances goveming(his lype ol�vork wdl be conrplefed <br /> �'� �:-helher specdied herom or no(. Thr, gran6ng o/a permd does not presume lo give aufhontylo PERM[T� � I <br /> �; ���olafe er r,ancel the prnv�sions ol eny other sfafe or Ior.ol law regufalm9 con5fn�cGon or the �� �O^ _ l � I <br /> I perfonnanre olc�ns6uclion. Thaf I am aufho�ized by fhe ovmer o/fhis pmperfy fo pedomi tBe "' <br /> I �vnrk/or whrch app��cotion is made antl I comply w�lh the Sfafe Confracfors Law 78.27 RCW and _____ . <br /> ?96?00 WAC. . I <br /> /. .\ � 9I a• p� � � I <br /> I <br /> ��eo srn�.��u <br /> -- ------ - - — --- -- __ _. __ <br />