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s • <br /> � - --- --- <br /> EiLECTR�C/aL PERNlIT' f��'PlLdCA°�"9�6� <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —�n�rr�.evereilwa.org <br /> �}p }-}�e�.�.eir- 'R� <br /> PROJECT ADDRESS -���, <br /> 0?�--4�0`� — <br /> v ���, S-{-'��wc.��; 3Y� 4�4e�tnerr�S� �Ue%Q�� l5-�G�. <br /> Ovmer PAadAddress Gly State2ip . Phone <br /> I <br /> Tenani MailAddress C�ly Slafe2�p Phone <br /> �"Z�'✓�"S�I�O�J <br /> vl �,� y�'�zi /�c-,O�ti� Dlz �ve�-eif l.-v� <br /> Eleclrical Conl ador h9a�l Ad� ss C�ly StatelZip P�one <br /> I F ��-�-sD�o�+4aC� l�oo -' - <br /> Stale L�cense Number Coniract Price of Work <br /> Proposed Use of Buildmg Contact Person (Plan Review) <br /> Square Footage(If residential new conslrudion, remodel or addition) <br /> Number of devices (II low voltage) <br /> Oescriplion a(Wark to �e Done: �OT� 1 V F'� ���'V1�J�yl (��--ViT � ��SCQ°t� <br /> � <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 �O � <br /> I hereby certdy tlra�I have read and examined(his applicafion and trno�•�lhe same fo be Gue and <br /> conect. All provisions o/laws and ordinances goveminglhis type ol�•io�k�rili be completed <br /> whether specilied herein or not The granling ol a pennit does not presume(o give aufhonty to PERMIT# <br /> violafeorcancelfhepiovisionsolanyo�herslafeorlocallav�n_gula(ingcons(ruc�ionor(he � � <br /> performance o(construction. That I am aufhonzed by fhe owner ol this propeAy(o pedorm fhe I �� _ /'�!�'1 <br /> �vork!or�vhich application is made and 1 comply wifh(he Sfate Contractors Law 1827 RCW and V2S V <br /> 296. AC. <br /> SignaWrc �al� / / / <br />