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Jun. 3. 2015 i� 48P��1 �do. 4�76 P. 3 <br /> � � <br /> IELECTRICAL PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR S7REET, EVEREl7, WA 98201 <br /> 425-257-8810 - FAX 425-257-f1457 -www.everettwa.org <br /> 6--7`I S <br /> , <br /> E isc6-oa3 <br /> ����o Pc����� ew (����r�, <br /> PROJECT AODRESS <br /> �X'���3..1 �C f l n I�(z.1����e c� �3l�,� �' �l'� (,t,(��7-� I u i c-�us= �� <br /> Owner h1mlAddress Gty S;a:c2ip Pho�c <br /> lt « <br /> ,nul �-tr,a� <br /> 7enaM hfailAtltlress Gry � Stalc/Zip Phanc <br /> �.S �' n�-iv� �,yn� � er�ii- ��ainY �' ,w,'d� �i�6Zol u�L-zs2—`�- <br /> EletttiCliCon9aCtOf tdaitAddress Ciy S�atc2ip Phone <br /> I ____��SHTF-�SHq�oi� —�l f S <br /> S}ate License Numbar(required) Ciry of[verCtt Business License Number(required) <br /> , IC��,�+, s�� _ ��ila C� •U� <br /> Proposetl Use o�eu�tl ng Contract Prlce of Work <br /> �,� I�,L'11n✓� d GL�,� ra:,c l�� r,� <br /> Square Footoge pf residenual new construct;on,remodel or addition) Cont�cl ersonlCo�n act Num6erl[mai—�— <br /> Numbcr of dewccs(I(low vollage) <br /> ' Descnplion ot Woric lo Be Done. �Se 1V�V1{��� SC,�rVI( 0 f�U'{—� � �S�� li.�j�rP <br /> -� ��lC ad�� av� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 - �{_ �(9d� <br /> I he�eby certity that I have reed and examined this appticeGon end know fhe seme to 6e frue enU ��� 6/ � <br /> correcf. All provisions ollaws and ordinancos govem�ng fhis type o/wo�1c nil�Oo complefod � <br /> whethof Specified herein or not ThB 9rantiny ol a parmif does no1 presume fo giw t�ulhonty to PERMRJt <br /> �iolate or cancd the provisions ol ony ofherstnte or locnl law regulah'ng eansfmcfion or the � � �A��� <br /> pedormanco ot conSWc�a�. �Ihaf 1 am auNomed by!ho owner ol thls property to peAorm tlre E � <br /> work lor u»rch applicahon is mado and I comply�rdh tho State ConVacfors Lmv 18.27 RCW anU <br /> 296.200 WAC � ' <br /> i� <br /> sl�« /�� ��'�Z (�� <br /> ��a oa��� <br />