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— � — � - --- i <br /> ELErT'RICAL P�RMIT APPLICATION I <br /> ��ITY OF EVERETT PERMIT SER'�/ICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 / <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.gov b � ��"�� � <br /> L i so6—i43 <br /> aoa9 ���YT � Utr c���e:=T, �,A gs� �� <br /> PROJECT ADDRESS <br /> n _ <br /> )'1') !(,�Fl�EC- uRAh'ESc 33(oQ SNae�4UC D�c. P�An.�.Ja Tti.ro �u!a 98Jd'L ��-�95��(ay7 <br /> Owner Mail�ddress City StatelZip Phone <br /> C_So� ) <br /> h� iUinec, GQ,a�1tSE 20.19 NoyT ��c. �r/E.�l7r W,4 �1.�L8L y.75-S�L-fG3/ <br /> TenBnl �dail Adtlress Ciry 9ate2�p Phone <br /> ��4.9 i� Zt� <br /> Eleclncal CoNractor tdatl nAAress Ciry Stale�lip Phone <br /> Sla(e License Number(required) Ciry ol Everetl Busmess License Number(required) <br /> R�yr'o� �rcF <br /> Proposed Use of Building Conlract Price ot Work <br /> ��A I <br /> Square Footage (If residential new constructioq remodel or aAdition) Contact PersoNContact Numbed[mail I <br /> �--- <br /> Number o�devices Qf low voltage) <br /> Descriplion of Work to Be Done� R E D L,ae b S r Q��C[' I q �J� L- <br /> I <br /> � PCE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 -�) /� D� <br /> � "J <br /> I hereby certdy thal I have mad and examined this apphcafion anAknow fhe same to be frue and <br /> conecf. Al/provisions ollaws and ortiinances governing fhis type ol work�vill br. compleled -- I <br /> whether specdied herein or nof. The granling o/a permrt does not pmsume fo g�ve authonty fo PERMIT# <br /> vio/afe or cancel Ihe provisions o(any ofhr.r sfafe orlocal la�v regula6ng consfruc6on or fhe ^ I <br /> peAormance ol constn�ction. Thaf I am aufhonzed by fhe o�vner ol(his praperty la perform fhe t 1��� _ (p� <br /> work lor which applrcation is made and!comply�vilh the Slate Contractors La�v 7827 RCW and � f � <br /> 296.200 WAC. � <br /> "������� �/a�/ z�is" -- <br /> S9nalurc � Uatc <br /> u�wsrn onnr.¢nu <br />