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-- — - -- -- <br />- -- - - � • <br />ELECTRICAL PERMIT APPLICATIOfV <br />CITY OF EVERETT PERMIT SEF�VICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-881 G- FAX 425-257-8857 — wwv✓.everettwa.c,rg ��/ $// S/ � <br />E 15�5 ��i <br />53 f 1-10��-1 A✓�- <br />PROJECTADDRESS <br />�C� 5+ v✓� t v� 5 � e+� <br />Owner <br />PrCs l��i�e�ta� cl�ur�'h 253 � Mwjf /�e <br />Mad Atltlress <br />Gty <br />State/Z�p <br />Evere+�, �Jh S� I <br />Phone <br />Te�n� � ��'ess C�ty -- StatelZ�p 1.� Z,j h�De_3 <br />�'J <br />I� J Q.IeC�-�tC <br />Electrical Contrador <br />f <br />fdail ACdress <br />I _��_��,-� i� v E � c� �- � 72 CT <br />�'� Slate License Number (required) <br />Proposed Use of Building <br />Square Footage (If residential new construction. remodel or addi�ion) <br />Num6er of devices (d low voltage) <br />Ciy <br />va n G l�A �� <br />S�aIC�Z�D <br />� �"�'2 JPJP� <br />�/�5 <br />Phone <br />Gty ot rverett Business License Number (reqwred) <br />�� � 04 — <br />Contracl Price of Work <br />�1 G �L� �� �f� L _ I <br />Contact PersonlContact Nu bedEmaii I <br />�Gve�ec+�¢.�e � yvi5h C� <br />Descnption of Work to Bc Done�. 1 n S�yii � �MC� �`-J e�e'�-(���e � e � —. <br />��/v� V e J�-� rrvi Q. �^1- � 5fi �� reee p-f a c 1 e �-o �', Tm�c h c{ e.� cm _- <br />,�s}�,�� ,�eh cir-c�.��+ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I l�erehy cedilylhaf I bave �ead and examined Ihis application and know fhe same to be l�ue and <br />correr.f. All provisions oJla�vs and ordinances goveming fhis type ol work u�ill be completed <br />�rhe(her specified herein or not. The granfing ol a permrf does nof presume to g�ve au(honty to <br />violate or cancel fhe provisions ol any other slale ur local law regulating consfruction or the <br />perlormance ol consWction. Jhat 1 am aufhonzed Gy the owner ol fhis property fo pedomi the <br />�vork for which application !s made and 1 comply wi(h the Stale Contractors Law 18.27 RCW and <br />296200 WAC. <br />-�L !/wt �� <br />I_ ; �.---�--��- <br />m <br />�6 Z0 1�j <br />FE[ <br />���� <br />PERMIT� <br />E i5o5-o �8 <br />