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ELECTRICAL PERMIT AP�'LICATION <br />CITY OF EVERETT PE�MIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 98�01 <br />425-257-8810 - FAX 425-257-8857 —�;/ w�.rJ-E i'trt`*'` w2 ��ri ✓ <br />ei,.� �('. GJCrL�{-i�QS � GV�+'Lt'F WO— qDJ <br />J <br />�/S/D— l7Z <br />�]°J �.1N�� SI �o _ a�--r5 <br />� <br />PROJE�T ADDRESS <br />��4�1 ('o t5•i� I �j`) <br />Oimer �dall Addres; <br />���.,Nou�E�,,� l:1rt5. <br />Tenant hlall Address <br />t`'�l�u�:U,� ��-z.-�r �� P� �� F y��� <br />ElectncalConirador h1allAddress <br />��'� ��N�E z 3V� �,�� <br />Slale Llcense Num6er (required) <br />i�Gf�,^�! �-nrTS <br />Proposed Use of Bui;dinq <br />E� tlLc`f� <br />ary <br />Ciry <br />t�i �'-s�uuN� <br />Ciry <br />Square Footage Qf residential new construcfion, remodel or addltion) <br />Number of devices (I( Iow voltage) <br />1, :, ( � Z a I <br />Stale2ip <br />State/2Ip <br />1^%a. `1���'��'3 <br />SlatclZip <br />�z��iy <br />Phone <br />Phnne <br />°22 2o�Z <br />Phone <br />Ciry ot Everen 6usiness License Number (required) <br />� �� ,�% <br />Conlract Pnce of Work <br />, S C'US.2n� �'so- •nw9awrt+�. ���'�+�u,c <br />Contacl PerscNContacl Number/Email <br />Descnption o1 Work �o Be Dane: _ CCSMcn�� (����t', SqV i N L (t,�—�^�,q(�1M(7v� � �tGr+"T4 1 <br />�n�Rl Fli,-�S � Il�1�luE F«LV)S � ,/� i-�tG.4lrrs <br />CITY OF EVERETT LOCAL SALES TAX GODE IS 3105 <br />1 he�eby certi/y fhat l have iead and examined fhis applicafion and know fhe same (o be �.�✓e and <br />correct. All pmvisions ollaws and ordinances 9oveming �6is type o! worlc will be comp/efed <br />�vhetherspecified herein ornot. �ie granting o! a permit docs not p��esume fo give authenty to <br />violate or cancel the provlsions ol any other state or /oca/ law mgula;ing cons�ructron or the <br />perlomrance o/consfrucfion. That l am aufhonzed by the o�vnerol fhis property to peAonn the <br />woilc for �vhich applicafion Is made and I comply wifh thc State Con(racfors La�v 18.27 RC4V and <br />296200 WAC. <br />�+�viscocaos:ai+ �jr LL 7(� L (i/� <br />FEF � <br />� � 1 J <br />PERhiti # <br />E I� I b`I�1Z <br />