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ELECTRICAL PERMIT' AF'PLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREEI , EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-2�7-3857 —www.evereltwa.org <br /> 7 - 13 —IS <br /> � �507 -4�9 <br /> ��52% Oa,ks �v� _ <br /> PROJECT ADDRESS <br /> �nhP `��/ ''/ /�S2�J C�a,�es /jve ��� lad/�98' `�`z�-�-�570-�v7g`� <br /> Otvnef � MailAddress City StalclZip Phonc <br /> Tenant MailAddress City Slatc/Zip Phonc <br /> ��� 'S �/� -k 'C 73/2S��j Sf ,�l�c�/ 5/`�Wo� ►v� q�*�A'� `/�576'a-Q' <br /> Electrical Con�racto� MaitAddress Cily StatelZip Phone <br /> �'���?l<E�"�� 3�� � �.�3Sc� <br /> Slate License Number'(required) City o(Everetl Business License Number(required) <br /> � LjCO.�cJ <br /> T <br /> Proposed Use of Building CoNract Price of Work <br /> �/���7(o�d'�� 2 <br /> Square Foolage(If residenlial new conslruclion, remodel or addition) Conlact Person/Contacl NumbedEmail <br /> Number o(devices(If low voltage) <br /> Descriplion of Work to Be Done: _�(�"j�G�_�/__�� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �O D� <br /> I hereby ce�tily Ihaf I have road and exarnineJ fhis applicalion and know Ihe same fo be Inw and <br /> carrecf. 1111 provisions ollmvs and ortlinances governing fhis 1 ype ol work will be compfefed <br /> whefherspr.cificd herein ornoL The grantinr�oI a pertnif docs nof pmsurnr, fo givc aulhority(o pFRMIT# <br /> violateorcancelfheprovisionsofanyolhn.rsf�feorfocalla�viegulatingconslniclionarlhe ^ ��O �J ^�� <br /> pr.Aoimance o/conshuc(ion. Thal l am aufhonzed by Bie otvnvrol(his pioperty fo perfornt ll�e t U <br /> �vork lor whicb applicalion is n��dc and I conrply�vifh thc S(ale Confraclors Lmv 18.27 RCW and _ <br /> 296.200 WlIC. <br /> .,— ignal ru e� � �v� `���------ <br /> H(VISFOOkT,(.?ON <br />