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i -- - • -- - -�- _ i <br /> ; ELECTRICAL P��,�tMIT APPLICATION <br /> � CITY OF EVERET'f rERMII' ��4VICES <br /> ' 3200 CEDAR STRcET. EVERETT, WA 98��1 <br /> � 425-257-8810 - FA'� 425-257-8857 —ww.v.everet���a.�r� <br /> j �3 // iIR.�MC✓2 f�vE. fvERE %i, 9B2u <br /> PROJECTADDRESS <br /> I Mo.u[�i NECSoN 2�6- $/9- 73 / <br /> ' O�tin2f Madl�tltlress �.ly SIaIULD Phone <br /> /SR�,•' AY�C�S 33// /�c^+�/Z /�v�, ��CnE7r c./l. 9Bzo/ 206-?10 9 zs <br /> i ?er„�n!-� --���— r.;adAadress Gry .- ....-Stale�l�p Pi�o��.e <br /> I <br /> �,o�.�icA��E EcEC1.� ccC. s5o'Z 2z/f�s;. sw r,w,�;caicE _��4v1�G �A. sew� yLs fC -8876 <br /> ', E'ectr�cai Contraclor h�a�i Adaress C�ry Siaie�Z�o Phone <br /> I /�,�NTG� &'65�1 S �Vi (�YG�? SS <br /> State l�cense Numoer Irequrted� Gry o'Evere Bus�ness L�cense Number(reqwretl) <br /> ��, .5�9� 'd _— _— I <br /> � <br /> , Proposed Use ol Bu�ltl�ng Contract Price of Work <br /> l7Au� /WrmAN{/�,s�,s�3 ' 897C I <br /> S�uare Fco:age Ilf residenhal new construction, mmotlel or add�Lon) Conlact PersonrConlact Nu.mbevEma�l <br /> I I <br /> 'lumber of devices pt low voltage) �� <br /> I Descnplion of Work lo Be Done _S"Q_PANCL e!{A,�c.� i <br /> .. --------- -- -- � <br /> I <br /> � i <br /> FEE I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 ,_� � G.�j � <br /> I �b�>reby cmh/y fhat I havr, iead and exam�ned fhu app��cahon and kno:v the same 10 Ae hue and / � <br /> �r.;rect All provis�ons o/laws and ord�nances govanmg fhrs fype ol work wrll6e complefed , <br /> r:he�hr.r speci6ed here�n or not The grantnrg o/a permd does nof presume lo grve aulhonry fo PERMff# <br /> violate or cance/fhe provrsrons ol any ofher sfafe nr lor.al law regulafing consfruchon or tbe E �� � Z _ b l 2 <br /> r�r,rionnance ol cmisfruction Tha11 am au�honze,d by the owner o/fhis properry fo perform the <br /> �,:ork 7nr wh�ch app6cahon is made and�compty�•n(h the S(ate Cont�acrors Caw 78 27 RCW and � <br /> ;'!i5 200 WAC <br /> � <br /> ; /z��y <br /> � Sign�!um Da e <br /> I <br /> :.C;"SEDOflroN10�� <br />