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�- -------- ---�--- <br />�LECTRICAL. P�i�fVIIT APPLICATION <br />CITY OF EVERETT PERIIIIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 4?_5-257-8657 — ww�r✓.everettwa.org <br />7�Zo l�yo � <br />PROJECT ADDRESS <br />Owner <br />��?4 L f� T $TE �O� �Al Lz <br />FAail Adtlress <br />City <br />Sta�e/Zip <br />ra �6 ,�y <br />C l�lZ..��7/ <br />Phone <br />Tenant �dailAtldress City State/Lp Phr,ne <br />4� <br />G�z��� �i��7��c �o r�X z�a� �v�� �vr4- 9�z�3 zsz �'�, <br />EICCIncalConlrac�or MadAtlOress City S�ate/Z�p Phone <br />� �✓anie��28�cc� <br />IStalc License Numbcr (required) <br />Proposed Use of Bwldmg <br />City ot Everett Business License Number (reqwred) <br />�� L� <br />Coniract Price of Work <br />li LLj%i —'I Zs - Zgj� ' J�� � <br />��I Squaie Footage (If residential new construction, remodel or addilion) Contact PersonlConlad NumbedFinail <br />II �7umbcr o( devices (II low vollage) <br />I <br />i Desenption of Work lo f�e Done. _�E %/iLC �u�:a� �Q'UTrLLtiG��—_ <br />CI7Y OF EVERETT LOCAL SALES TAX CODE IS �105 <br />� hr.rr.by certdy fhal I have rr,ad .ind examined fhis appLca6on and k. iow fhe same fo be (rue and <br />cunr.r.( All prnvisions ollaws nnd ordinancr.s yovr.ming fhis type ol wo�i� wrll be completed <br />r:hc(hcrspealicd herc�n orno� Thc g�anbng o/a pennd docs no� presumr, fo grve aufho�ity (o <br />violale or ca�tcellhe prov�sions o/ any other sla(e or local law regrlahny conshiu:hun or Ihr. <br />pcAom�ancr, o/cons(rucfion. !ha( 7 arn authnnTed hy (he owner oi �his prope�ly lo peAom� fhe <br />ivork lor which applir.a(ion rs made nnd 1 r.rornply �vilh fhe Sfa(e Conliac(ors I. a�.v 78 27 HCW and <br />z9e ^oo v✓ac <br />—� ����� – -- �Z 'l(p - l�– -- - <br />S naWre Datc <br />