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=��:25 i5'�J3 17p <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA �8201 <br />425-257-8810 - FAX 425-257-885,' — wvrr�.everettwa.gov <br />�"D �� �I-� y � I`l�.'-2� <br />PROJEC7 ADORESS <br />' O�+mer <br />I <br />, Tenant <br />a � d �.-h � ��Y�� 5-�� <br />�. ali Addms� <br />E;ectrical ConVadcr <br />Mai! Ad�tCSs <br />;'�i%1���'la � � `� KI�1 <br />State l.icense Number (reGuiretl) <br />Proposod Use cf Building <br />Square Foc[age (If re5iden0ai ne.v construd�on, remodei or ad�d;on) <br />Number of devices (If iow voltage) <br />C'�Y <br />Ci;y <br />�` <br />ary <br />�� <br />� l�r�9-a-a� <br />��3p�I5 <br />" ;i'i✓t' �f !t� �J�.�J� <br />St�reQip <br />s�airJZp <br />�!-G1 Vi�l,-�t. %'i �� <br />si�ierz p <br />Phoru; <br />�hone <br />�� <br />1�� �5�3 <br />Pnoce <br />c�4a- � � 1 <br />Ciry of E•:ereft Buslness Licensc Number (re:uiied) <br />�Gl �� Li7 <br />Contra� Pnco o' WorM. <br />���1�1A. K�S" �^JS- �D�-G� <br />Contatl Pers�^��!;o�tad Numbcrl'cm;�l � <br />Descriotrn of Work Io Be Done: 1� � v�i ���- 7- — rj tC�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certi(y fhat 7 lravn road and oxamined ihis appllca6on and know Ihe same !o be Iruo and <br />co�cf. rVl prov�sions o!laws and ordinances govemrng fhis type ol work will be eomplo,td <br />u�helherspociffed hemin ornoL The grsnNng ofa pennR does nof prosumc fo giv: aufhonryto <br />violale or cancpl the provrsions ol ony othor 57alc or �cca! latt� regufaling consliuction or the <br />Poilormancc o/ ca��slruc6on Tnaf l am au(fronzoa by fne o.rner of (h�s pmperty fo per'orm fhe <br />n'or o:nicn ooplicabon is made any ! comply wi7h the Stato Ccr�ractors La�v i p.27 RCW and <br />?9 200 AC. <br />� / i! (/ji'I'�_ '�/ '�Lj �/ J <br />l � f <br />HF/fiFJ GBLL:JIa <br />�C� ... """.�w:""+. '�. �`'�: . 'aYi ry�Saq...,. � �� '�o^ ^ «.. . <br />_ _ .�i. ;.:-a ' � x,a_ `� r i;.� c _. <br />fEE <br />�b � <br />PERM[T� � <br />E��oa-�a� j <br />�f ?fe�� ; `i� "A <br />���� . .. ti� .. ��.. u�s.:��i4ia.it.� ..n �:�i'e�.e1i� <br />