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ELECT�ICAL <br />PERMIT APPLICATION <br />CITY OF EVEF<ETT PERh91T SERVICES <br />3200 CEDAR STREET, EVERE if, WA 98201 <br />425-257-8810 - FAX425-257-8857-- w't4�t�J-C�'arG�`?���'c-JD� <br />.. <br />�It.���'. GJu'�L�i�{LQS��G�VL-�'U"'FCd:L�qO✓ � <br />�J <br />� i I �ir�9E�► <br />PROJECT ADDRESS <br />Ovmer <br />Tenanl <br />t�F1 ('� iy�;c I �j'-I� <br />IAail Address <br />i <br />..iwu��)U��u% ��I?�y. <br />hlail Addre;; <br />C btlZ�'� <br />City <br />Ci�y <br />�15/0-�76 <br />�o--a�--�s <br />L�,. `1GZol <br />StatclZip <br />State2ip <br />Phone <br />Phone <br />j�V�.^,�L'.�.�('- �LcZ"i1�IL FD UOX 'i��� ��1'-tLua�,� 1�.�4. `7V��'3 ���lS�EZ2 20�Z <br />[lectncal Contractor tnall ACdress Ciry Sta�erzip Phone <br />��'i'.�pULEZ �Jl:(.' Vi L7!'�;�`1 <br />Slale License Number (required) City of Everatt Business License fJumber (required) <br />I'JGr� ^�:t�t�.,�i 5 � � (� vJ <br />Proposed Use of Building Contract Price of Work <br />Square Foolage Qf residenlial nevr consiruction, remodel or addition) <br />Number of devices (If low voltage) <br />TT c<u�arn� rso--rwo�.,�rtiNu���u,� <br />Contact Persen/Contacl NumbedEmail <br />Descdplian o( Work to Be Donc; ��Sn'`ci1L (�7"cj�(�`/ SAV iN � �-�^u�L�}ti+��v.� � LI�NT � � <br />_ `��Tl-1 NiNS � I'41r.1i���_ K-o� C-f1P_C.�. i� <br />CiTY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />1 hereby certily (ha� %have mad and examined fhl, applica(ion and know the same fo be frue and <br />co�recL �111 prnvisions ollaws and ortlinances goveming fhis type o/ u�ork will be completed <br />�vhelher specilied hemin arnot. Tlte granting ol n permrl does not p�esume to give authonty fo <br />violafe or cancel the provisions ol any ofher sfafe or local la sv mgulafrnq construction or (he <br />perfoimance o(construction. That / am aufhonzed by the owner o/ fhis property fo pedoim the <br />�soric lo� which applicafion is made and l comply ;vith the Stafe Contractocs La�v 18.27 RCW and <br />296.200 WAC. <br />reva�o omornow �j I� � L TL� (� %i_/�_ <br />1=EE <br />`�t'� � o0 <br />PERM IT�F <br />Ei�ia-��� <br />