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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />r��3� �w;�,� Av� �„u-��+ <br />PROJECTADDRESS <br />/o `�0-�3 <br />C-��-�a-a93 <br />/✓�L�au� /�J�LU�YY) l �131 2c�,; v� VF �t/�-wtl 'V��f� ���ZS"� 2 SZ-?N <br />Owner hlad Adtlress Cily Slate/Zip Phone <br />Tenanl <br />Mail Ad9re55 <br />Gty <br />StatelZip <br />P�one <br />Lvi�tu�se_ FIcc�J,-;�w� t�iu2S 9+�'+ PL SE l.a.k� S+wcn.s `l�2su �4ZS�259-0613 <br />Eleclrical Con�ractor A7ad Address Ci1y SlatelZip Phone <br />�,-, ha�� c S 9S� c2 �, <br />�State License Number <br />� <br />v�.tmo�f,� ��erviu. Ll-�cw��a� <br />Proposed Use of 8uilding <br />1-6uv +�z <br />Square Footage (If resldantial ne�v construction, remodel or addiLon) <br />uf devices Qf low volta�e) <br />Contract Price of Woik <br />Conlact Person (Plan Review) <br />Description of Wurk lo �e Done: P_ �w �ij �-i._ VC V�Z.('JG��-C-v` �-�G�C� �-Z yi�✓�1 C. Lu�{�__ <br />G�'lc+�.� -�-u ?_Uv �c- sGrv1'CQ . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heaby certJy fhat 1 have read and examined fhis applicafion and kno�v fhe same to be true and <br />corrccL Illl provisions o/lae;s and ortlinances goveming liris type ol m�orN n�ill be compleled <br />whethn.r specified hercin or nol. Thc granfing of a permit does nol presume to give authonty fn <br />vio/a!e or cancel fhe provisions ol any o0rer sta(e or local /a�v regu/a(ing consWcfion or the <br />pedonnance olconsfru�tion. Thal I arn authorized by 1he ownerol this property ro peAorm (he <br />work Ior �vhich applirafion is made anyl 1 comply �vith fhe Sfa(e Caifrac7ors Laiv 18.27 RCW and <br />296.200INAC. e / <br />a:v�sen ��u�n <br />FEF <br />� �� <br />PERh1ITJ1 <br />E 13(C-oa� <br />