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. _. .. . . . . _. _ _. __ _ __ . _.. __ ___ . _ _ _ _... . � <br /> ELECTRICAL PERMI� APPLICA�ION <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREF i', GVERETT WA �8201 I <br /> 425-257-8810 - FAX �i25-257-8857 -vn��.everett�:�a org �' S�D a� � ! <br /> i <br /> l0 --/�-l� <br /> �� l � ��a.v, {�.J �(�. � <br /> PROJECT ADDRESS <br /> ' ���� �_���• I a �.t:���vd_.�i�c�� <br /> � � <br /> I Ot�ncr tAailAtltlress Cily StalefZip Phone <br /> I <br /> i Tenanl L1ail Address G'y S!a;c.'Lp Phone <br /> i <br /> ' i S ��r�� � (_� V�'t�rSUJ � 1N�" �l R��- 8� <br /> Electrical Conlrador t.7ail AdCres; t City State2ip Phone <br /> I�IA-S�,UG� $S�fl�� �S�L.1 <br /> State License Number(required) Cily of Everelt Eusiness License Number(required) <br /> 2a��`d�.��� —4��� "`' ------ � <br /> Preposed Use of Building Conlract Pnce c�Work ' <br /> I JE-L�S�� _ '�.�S-�4�(�fr=� - <br /> Square Footage (I(residential new construcl��.on, remedel or addition) Contact�PersoriConlacl Number/F_maii <br /> i �/�'1[�c�(.Y�.L��GL�"V�•�L I S ��1�t�7,�I .(�.....� <br /> � Number of devices(I(low voltage) I <br /> I <br /> �escription of Wark lo Be Done C,;,�J�n�_��LT ,�' C� � �� <br /> ��-1- <br /> ' — <br /> I � �E <br /> CITY OF EVER[TT LOCAL SALES TAX CODE IS 3705 y� � /� � <br /> ��t J i <br /> I hcie:by cafily Ihnt I have iead and exnmined lhis atpplic�fion and kno.�tli�same(o he fiue an:' -_ __ -.—'--- ---- <br /> conect. All provisiens o(/mvs and adinances govr.ming 6ris type altvork v,�ill be completed — - --- --- ---- <br /> Iv.l�efher specificAheroin or noL (hc grmling ol a pennit docs nof presumc fo yive ai�fhoiity to PFRf•tff;: <br /> viola(e or cancel lh:�provisions o(any olher sfafe or local lmv rry�daGng construc(iun or(ho � <br /> perfnnnonce o!conslmcfion. Thaf I am aufhorized by(he o�snerolthis propmry fo pe�form(he E �� ' �y � 1/) /`_ <br /> �:-oric Ior�vhich applicafion is mndc and I comply�eith Iho Slalc Caif�acfors I.nw 78.27 FCW and -- �- L•1IT <br /> 296 200 4VAC. , <br /> L=��,t�f� S. ��c�..---� —�(�—��-_�2�� — <br /> y,�, o,ce <br /> I <br /> I <br /> � . .�-�nonr,.^ota � <br />