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ELEC�ICAL <br />PERMIT APNLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, VVA 98201 <br />425-257-8810 - FAX 425-257-8857 —�;,� i �� I tJ -f ��LrG;~7 W� . t��> > <br />c�,,,.,1. �✓�c;�-+•l�`s ur�,��_:,crY , .� <br />C ld:r- J rJ �, . <br />`7 :3 6 P� NF <br />PROJECT ADDRESS <br />��K1 <br />Ov+ner <br />C71µ•��Jl� y f ��V� <br />Tenan! <br />}'o iy�jc I �j-I? <br />1:7ail:,tld:ess <br />i:L^ � <br />f.".all Atldress <br />� ��1Z � <br />City. <br />City <br />l, r `l�'Zc�1 <br />Staleilip <br />StatelZip <br />Phonr. <br />Phone <br />I , <br />i`4�^Da�:��'- �L�Z'i)�iC: �c �;�aF i°�� ���i=;��.>�.,� L..14 `I�'D�'s �`ILi)°tZ 2ci"L• <br />cleC(ricalConiraCtor .tadAtltlress Cny SfalclZip Phonc <br />i�'1 ���;�t r. 3a'� ��t u2� �� �{ <br />IState Licznse Mumber i,reqwred) City of Everett 6usine55 Licensc iJumher (required) <br />i <br />I \ � .�-� I/{I1^� r_,/-1� <br />I ���1�'��I�:/{:iV�i � /�`/1 D/ <br />I Froposed Use of Bwlding <br />, Contract Price of Work <br />Square Foolage Qf residential new construction, remodei or adddion) <br />� <br />Number of devices Qf Icw ��ottaae) <br />Description af �':ork to Be Done: <br />SH'viN <br />�S C"V,!I�CS1iJ TSc-Iho9aw2tc, n,..,��N�,4: <br />Contact PersontContact NumbeUEmail <br />`�I�11{ F+1NS � fNI.JC'l� Ii_6')j � 3 G�✓'W77� <br />CITY OF EVERETT LOCAL SALES TAX CUDE IS 3105 <br />I hcreGy cedily fhat I havc rt;ad and e.ramined this applicafion and Rno�v fhe same to bc frue antl <br />correcL AI! prowsions of laivs and ordinonce, goveming this type ol work wd! be complefed <br />�•+hether specilied hemin or no[ Thc granting of a permit does nof pm�ume fo give aufhonry fo <br />violate or cancel fhe piovisions o! any ofher stafe orlecal la�� requlating construcfion or the <br />eer/ormance o/construcbon, That ! om eutho�ized by fhe owner ol fhis property to peAo�m the <br />u�or;; /or which aop/ication is matle and ! comply with the State Contractors La�i i8.27 RCW and <br />296 200 WAC. <br />!G <br />F;=EUCS^S^J�4 -_--"-_-....-i ( LC- �D L� �� <br />(� _ <br />li(;h'7 4 <br />FEF <br />� 5� �� <br />PEaMn�;; —, <br />Ei�O�-j� <br />