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�� <br />--- ---�--- <br />ELEC�'RICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMI"i SERVICES <br />3200 CC-DAR STREET, EVFREIT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — v.vaw everettwa org <br />��1! Pl/�� yZ� <br />PROJECT ADORESS <br />�: i � �F� 33/� Piu� ST �v �'�'�� i 2'S Z �`i 2� <br />�r:nzr • t�iaii Aadiess Ciry Swte2�p phone <br />;enant <br />"edncal Contractor <br />' r����tirc� i Y2 LP <br />Ctaln I iranw Nnmhnr <br />_��/ �- <br />Propose Use of Bwltlmg <br />f.'ad Adaress <br />-��.� ° L� 0 <br />L1a�l Atltlress <br />Square Footage Qf residential new constiuct�on, remodel or atldiUon) <br />Number of devices (II low vollage) <br />Gty <br />� <br />State2 p <br />-v I' .ao i <br />State2ip <br />� <br />Contract Pnce of Wark <br />� Pnone <br />�� �(a � ' <br />Phone � <br />Contact Person (Plan Revier�) <br />�escnpl�on al Work to Be Done /t! %�'I.t(. itJ �✓h 1� L�4 � U/"/� <br />F[E <br />SO `' 'C�i <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I he�eby certdy thaf 1 have read and examined lhis appl�cation and know the same fo be true and ___. <br />carer! Ap p�ov�sions olla�vs and oNinances govemrng this type ol work will be comp/efed -- , <br />�•;hether spec�hed heiem orno!. The granfing o/a permit does not pmsume fo give authonty fo p[Rhi[T:, <br />v�o�ate or cancel the provisions ol any other stafe or local law regulafmg consfrucf�on or the ^`� O ry` O� r <br />performance o1 cons6uclron Tlrat 1 am aufhonzed by fhe o�vner o(fhis property fo perlorm fhe t � � I <br />�raN lor �vhich app6cation rs made and 1 comply �vdh the Stafe Confraclors Law 18.27 RCW and � <br />296200WlIC / <br />� <br />I <br />. _.�,�� rr..,, <br />� <br />� <br />