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� � <br /> ELECTRICAL PERMIT A►PPLICATION <br /> CITY OF EVERETT PERMIT �_ `JICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 . <br /> 425-257-B810 - FAX 425-257-8857 -www.everettwa.org �_ �� .-13 <br /> �� 3os_/z � <br /> lado ��Y�, � ( cv�i� ���,�wu-�f <br /> � <br /> PROJECT ADDRESS <br /> �oL�AGf av,�t I ZdD l`�ZB+'i�� Cr�E�� ��s✓�G� �✓Go� WPt- �I�Z4�7 S�a�"�D7-IvY�O <br /> Owner Ma�l Atldress � C�ly SIatMZip Phone <br /> s�'s�kpef S.s�ns IZao t�-rr� ((Gu.� ���c�y �'�u�z� l,1i14- 9��1�3 �ai yo��y <br /> Tenant M1tail Address Gty StalelZip Phone <br /> M"C��k 5��'t.� SOOS 3`cl��J S.t�7T� �� 9�i3 y �0� '(a�-3�1 I <br /> -� <br /> Electrical Contraclor Mail Adtlress C�ty StatelZ�p Phone <br /> r��cK� N� � 2�a K � �ss�, o�� <br /> Stale License Number Contracl Pnce of Work <br /> �K�S��KI 1—�c G� ����c.c�ssc�-�'i �^� Iea S e-�r �a�.� <br /> Proposed 1'se of Buddin Contact Person (Plan Review) <br /> ��dQO S,s �� <br /> Square Foolage Qf resideNial new construction,remodel or addition) <br /> Nu�devices (If low voltage) <br /> Description of Work to Bc Done N'�W GYL�I�f S IX iuM/ n L�d,�7 A-F' "1 orrO�. <br /> _� <br /> _�A vyGe.S SC n�,_L'/,'l/�O.�-c-��t-� -- <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� (�'� / a� <br /> 1 hereby certily fhaf 1 have rea[I and r.xamined Ihis applicafion and know Ihe same lo be We and <br /> �� I 6 <br /> conecf. All provisions o/latvs and ortlmances goveming this fype ol work will be comp/eted <br /> whclhcr speci(ed hercin or noL The g�antmg ol a permil does nof presume lo givc authonry to PERM[T# <br /> wolate or cancel(he provisions ol any other sfafe or local law regulal�ng consfruc(ion or the E i �os- i a a <br /> pedormance ol cons(niction. That 1 am aulhonzed by the owner of fhis propeRy to peAorm the <br /> work for which application is made and I compty with(he Sfate Con(racfors Law 18.27 RCW and <br /> 296 200 WAC. <br /> a i3 <br /> si9naw�e ,�� <br /> REVISED.V10/IJ <br />