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� <br />� <br />ELECTRICAL PERMIT APNLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - wewv.everettwa.org �..a `7� /3 <br />G / �,�Q-16 l <br />C� �07 �/��z.�e�w �2d /�j� �-� <br />PROJECT ADDRESS �`` � (' '�S/� �� _ J' �� <br />�ji��,� G�u.t �.�o�- �6�v� �a.�a,�s�i G� ���I 98 � <br />Owner nno�i nda�uss ciry s�ate2p anonc <br />Tnnant Mail AtlAfess Cl�y 1'jNt�/� 7�' 7� b 9�7�� <br />%"JGF;s. aF <br />����-�-�� �'��.a G� �o��� �_��,�.�,..D r�►� �� �.�. Cv� <br />Elecina7l CoflUactot M1i II Adtlress Clty � S�e/Lp Phone <br />/7U�I%%!� �,f �D2- <br />State License Nuniber <br />Proposed Usa <br />Square fooWge (�� residentiol new conslruction, remodnl or addi6on) <br />2 <br />C.+ w � <br />CoolraG--t P e of Work <br />Conlacl Parson (Plwn Rev�ow) <br />Numbor of dewCtis (II low vallapr.) , <br />CITY OF EVERC-TT LOCAL SALES TAX COD[ IS 3105 <br />1 hereby certity fAnt 1 �avo foaAanJ eXartdncJ tlris npn��cntion and faiow Ihe samo fo ho fiie and <br />a�necf. Aq pmvislnna ollaws and orJin�ncus gowrnin� fhis fype ol worfc wilf Ao conrplefMl <br />whofho� spoc�6od horcnr ar not Thc pr�nlinq of s ponn/t doos not presumr fo y�vn aufhenty fo <br />violate or c�ncvl (he prvvislnns of vny ofhr.r stafe or focalWw rogula6ng conshucfion nr fho <br />pedom�encr. of consfruchon. Thaf I am aufhonzev Dy U�e owner of fhls property ro pmform thd <br />wnrk lor which applica6on is made and 1 mrnpty wilh tAe Stete Contrec(or� Lnw 18.2� RCVV and <br />F[NSCO i4N19 <br />FEE <br />(�i0.07� <br />P[RNTT� <br />E �30$ -I�f <br />ZO/Z.0 39C1d 1M]Wd[fl�l:J (131bWOlIIV LLR61_9l_7RZ ilca:6�1 r.[U:/I_;/ycj <br />