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ELECT�CAL PERMIT AP�ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 - FAX425-257-8857— w.'c.�t-rJ.r�'=-ri=":✓:'.-r:.o,- <br />Ch,�,.� I' GUr?re'�feOS � 2Vc-rGf";' Ea'zt-•��r J . � <br />�.J <br />g� �j�1 �i��� <br />PROJECT ADDRESS <br />ti: Ei ti1 i'o h�%c � �j'`I <br />Owner <br />G��•�i-�?V�t �L 1.i�;"i 5. <br />Tenant <br />' ��c�•-n � i c: <br />, �:��: �:,,� � <br />Electricai Contractor <br />���; ��„�f �. 3�is ��t <br />State License Number (required) <br />.� <br />i Foa� f�1�.r���� <br />aroposed Use of Building <br />Square Footage (if res <br />�r <br />hsail Adtlress <br />tdail FOtlress <br />r� r:, � y��., <br />�dall Address <br />E, .,—� - d7 � <br />ra--9—i5' <br />� �e�u-�-r j,JN `/ � Zo I <br />Cdy <br />City <br />�� I��L�'Ji� <br />City <br />new constructioq remodei or addition) <br />Dlumber o( devices (I( low vollage) <br />Stale2lp <br />Stale/Zip <br />1�) o. `i �� D�� s <br />State�Zip <br />Phone <br />Phone <br />�>`)Sl2 Zc�2. <br />°hone <br />o2�i:iy <br />City af Everelt Business License Number (reGuired) <br />'� 25i� , ov <br />Centract Pri�e of Work <br />TS G1uI�2tlnJ T;Sc-�xo9.�w^.'¢� �v.��wv.�� <br />Conlact PersoNContact NumbedEmail <br />Description ol WorP. ro Be Done: _ C�,SM��/ (.�.,c�(, y 5�� i N � i1 il'�r�et1•��i7�j- c�- �;(�r+Ts � <br />'�,q'Tli i-ilN.� � 141v�1' F�='c)S � {- .'..�; •:. <br />CITY OF EVEf2ETT LOCAL SALES TAX CODE IS 3105 <br />I�4mcby certily that 1 have read and examined fiu; application and kroir thu same fo be t�ue and <br />correct A(I pro��isions ollaws and ordrnances govemmg lhis type oI �vorN wrll be comp/eted <br />�.rhefhei spedL=d herein ornoL The granl�ny ol a permrt daes nof presume (o give aufhonty (o <br />violate or cancel the provisicns ol any ofher state or /ocaUaw regulating consVuc(ron or the <br />pedormance ol construction. That I am outhonzed by flre o�vne� o/ this propeRy to peAorm the <br />ucrk fe� �vhich applicatron is made and 1 comply �vi(h the State Conlr�ctors La�v 78.27 RCW and <br />290.200 WAC. <br />�EV6C0 CP�'�(^.01: <br />� LL i�l (�(-�;�, <br />FEE <br />,Ir � 60 <br />gt <br />PERMif# <br />E �51 o-u� � <br />