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�� <br />_ �_ <br />ELECTRICAL PERMII' APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />3200 CEDAR STREET, EVERET-i, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — w�r w.everettwa org <br />� � �� ��� <br />' PROJECT ADDRESS <br />-- C�—��—�`��� -- <br />I O.ane��� L1adAddess Cny <br />Sta!e2p <br />Phone <br />I tenar.t ;aa�lAcare;; C�ry StaieiZ�o L�J/ e <br />� _� f�, ,l` _.S ��C �. %3/ � 5Z� �s�. �i%L!� �%��u� — <br />EecV��cal CcMractor �.tad n�dr;s C�i; Sta'e2p �� phone <br />Z!�''r ,�2JJ <br />��ir-� �^�U��� � ���' � 2 <br />State License Number Contract Price of Work I <br />vGt v":� � <br />' Propose— d Use of ��fiding <br />� �cv � <br />, Square Pco�age �If residenh ne�a conslruction, remodel or udddion) <br />� <br />�`J�,�n,bei of dev�ces Qf lo.v vol(age) <br />Contacl Person (Plan Revie�v) <br />Descriplion o( Work lo �e fJone� __�� � __ � � / _7 � �Ci Ir4��_ ,, <br />._. Lf_ i- �n „�.,j-...- �, f_.r-� : <br />FEE I '� <br />CITY OF EVERETT LOGAL SALES TAX CODE IS 3105 � C� I <br />�% —'� <br />1 hereby certJy fhal I have �ead and exar�iined thls applicaGon and knon� fhe sanic �o bc ln�c und i'i <br />�� cunccf. All piavisions ot laws .ind ortlinancr.s goveming this type o/ �vork r✓i0 be compleleA —.�, <br />i r:hcfher s � sd hcrein or no(. 7he gran6ng oI a pennit does not piesume to give authon(y fo PERMCT# I I <br />. r�olate cance uie p�ovisions ot any otlier s�at o cal la�:� �egulatrng consfruc6on ar flie c^` � <br />i pe�fon ance oI c nstn�ction. Tha( 1 am uthc• b the owner oI this properly fo peAorm fhe E I 3� X_ I g I I i <br />r:nrk r v:hicfr ap licalion � nm or p- vi� i the Stote Confracfors Laiv 78 27 RC'N and __ �J � <br />� ?'v6 00 WAC <br />� � �� <br />��� ���: <br />KM �fi ���Yk�$�J'' �, <br />y � N. Y �l . `� <br />: 6• 1�: 44 <br />... d34:.v.•. � ..� ...A. v. <br />� ..s—.. .,.._-_ . _. ......_ .:._ y,. ... F.a._— ,....- — ' . _ . <br />�s�� —� �, <br />�� ��l <br />}¢t� <br />� '� . ES' . i* <br />\� � <br />. � <br />a <br />G . ..iF�I .. . ...Yd <br />C.r� '�_J <br />