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- ---- -- --�-- -- ._ �-- <br />� ELECTRICAL PERMIT APPLICATION <br />I <br />CITY OF EVERETT PERMiT SERVICES <br />3200 C[DAR STREET, EVERETT, WA 98201 <br />' 425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />2�z� <br />%:"l�Z Lc.�1�.�, 7� <br />PROJECTADDRESS <br />Jess,e Wiay,��•, v� <br />Owner <br />Tenant <br />�G. �e�e�r-a_« <br />Elecirical Contractor <br />MatlAddress <br />Mail Address <br />. �j'i /i' l <br />,ti�- ?�t'L �Grl�v� dr G✓ere4� <br />'po P,,r^(- 3�6? <br />PAad Adtlress <br />IL�uG� �t— �t�2C5 <br />State License Number <br />(Z�s �+e�k«.1 _ S�.-.��z �-=�,�.F <br />Proposed Use of f3uilding <br />Square Footage Qf residenlial nevd construdion, remodel or addition) <br />Number of devices (If low voltage) <br />Crty <br />Ciry <br />S��✓ �r�. <br />Cdy <br />State/Zip Z�? <br />cl c6 z-� <br />SlatelLp <br />z�737 Za; <br />Phone <br />1 �6 'L�6 % <br />SlalelZip <br />�175L�.vo <br />Contrect Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Q �� � � ��1� <br />Description of Work lo Be Done�. �� '" �" ' a��� �� � <br />c� (�� ✓� c�.vt,� � V��'I � �� S �IS � �'"`'`s� — <br />PEE -- <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I Irereby cerldy fhat / have read •dnd ezamined fhis applicaGon and know the same fo be hue and ____ __ <br />correct. All provisions o(la�vs and ordinances goveming this lype oI work �+�ill h,e compleled <br />whefher specrlied he�ein ornoL The granling ol a pennit docs nof presume to give authonty to pERh11T# <br />violate orcancel (he provisions ol any other sfale or local lar✓ regula6ng consGuclion or the �����— O�� <br />peAormance o/ consfruction That 1 am authonzed by Ihe o�vner ol th�s property to pe�fonn fhe <br />�vork for which applicafion is made and I compty with fhe Slate Conhactors Laro 18.27 RCW and <br />296 200 WFlC. <br />�� � z��iy <br />Ft„�Eo��o„� <br />