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� i <br /> ELECTRiCAL ��R�iIT i4PPLICAT`IOiV <br /> CITY OF EVERETT I'ERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 5 <br /> 425-257-8810 - FAX 425-2'i7-8857 –www.everettwa.org `� „�-3'� <br /> � I��—�� <br /> ���- �.�f'�{'� C�L� <br /> PROJECTADDRESS <br /> � �� �v�r�I 3��- _�`��'--������ �"�� 1.� �1 <br /> Owner MailAddress C�ly Stale/Zip�� .�-�� Phq�_�r� <br /> �.Y_.0 CD b <br /> Te�ant Mail�ddress Gty Slatc2ip Phonc <br /> ��Y1 �lC�C�-f��C_, ,,�'n �"h �. (���Yi 11�,_I�_��o `�`'-3� � <br /> ElecUical Coniractor ldail Address Crty State2ip Pnone <br /> (Y�'�'-�1'1�L�S��-�S� r�P �iec� � 7 Z3�IS <br /> S�ale License Number(required) Gity of[verell Business License Nu ber (reqmred) <br /> ���Co � ��-� � -- — <br /> Proposed Use of 13uilding Contract Price of Work <br /> �I�'!— �C_��� � 3`�`� <br /> Square Pootage Qf residenlial new construction, remodel or addltion) Contad P sonlContact Num6edEmail ���� <br /> ✓ O _. <br /> Number ot devices(II�ow vollage) <br /> Descrip6on ol Work l0 13e Dcne' �_��.L�� '��—_ � V J� .l U�—LX--1 V ��/- U�C.1�e�� <br /> U i — <br /> -- --- — — ------ — - --- — i <br /> FI=f ---- — — -- <br /> CITY OF EVERETT LOC�L SALES TAX CODE IS 3105 �C1� I <br /> ✓ <br /> 1 hr.rcby cr.rlity Ihaf f havn, rc�d��nd examincd Ihis applrcabon and knnw(hr. s.vnr, lo bc hur, and . . _—_- -- - - — I <br /> correc(. All p�ovis�ons ollaws and ordinances yovcrning(hrs lypr, ol wo�k will bc compkled --- �— - �— —� -- <br /> whefher spec�lied he�ern o�not. �he granlmy o/e pernn(docs nof prr.sumc(o yrve aulhonty lo FLRMIT71 <br /> vinlate or canr.r,l Ihe provisions ol any ofhr.r s(alr or local law regula6ng consinicfion �r fhe �- (l <br /> pr.rlannance ol%onslrziction Thaf!nm aufhonzed by Uir, rnvnr.rol fh�s propedy(o pr.rlonn Ihr. E � J v7- I �O <br /> ivork !or whir.h app6cafion�s made and I cornply�vdli the Sfa(e Conlraclors L��w 18.27 l:CW and -- -_--- -- _ __ . <br /> 296.200 WAC. <br /> � ��---� ��c3 -� ��� - - <br /> — - &i� ilure Uate <br /> nFvr�rn oniovmr4 <br />