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JLIL-22-2C113 ��5:=4 From: <br /> To:2578857 Paee� l�l <br /> I ' EL�ECTRICAL PERMIT APPLICATION <br /> CITY O� EVEFtETT PERMIT S�RVICES <br /> 3200 CEDAR S7REET, EVERETT, WA 98201 —j .. �'�"�3 <br /> 425-257-8810 - ."AX 425-257-8857 —www.everettwa crg .,0`�7 <br /> �13°� <br /> , ��� .P�1"r� � G+J .SUr�I� `�' > <br /> � � <br /> IPROJECT ADDRES <br /> I <br /> Ownef Mai�Address City Sta(clZip �� Phono <br /> �� ______�5�1-1�� <br /> Tenan �aailAddresa Cily Slale2ip , /LSPFione <br /> � 'I <br /> i��Jc C= �c�r� c. 5� r� -a0.��sNE �4r1;�� (�J� t�u3 z�-�7z <br /> [iactncalContreelor MallAddraes cay Stale/Zip phone <br /> 12 ) C��EL � � IQz- � 8 �. <br /> Slate Lieense Number Co act Price of Work <br /> 1.��� l�c�-- o � 1���'' <br /> IProposed Use of Building Conlaci Person (plan Reviaw) <br /> � <br /> I <br /> iSquare Footage(II residentiat n0w construction, remodel or addilion) <br /> i! �� <br /> Number o devicos Q(low vollage) <br /> I Description of Work lo Be Dano' W� V� � 1 v�-'����C-�� ,l 1 � � <br /> � <br /> � <br /> I <br /> i � <br /> � „ FEE <br /> � CITY OF EVERGTT LOCAL SALES 7AX CODE IS 3105 ��C U <br /> I <br /> i irereby cortity that I have read and examinod Ihis nppllcetion and know the Same to bo frue artd <br /> cormct. Aq provisions o/law�pnd orrlinar7ce5 govmnirry fhis rype efwork w111 bo completod � <br /> wAc�hnr specificd herein ornot The granlinp ol s ponnit does nul presuma to giva autRonty to PERMIT� <br /> I �ialalu or cancal the provisions olnny elhor sl�te orlocallaw reguleting constrvctlon orthc <br /> peAortnance 01 eonsWclion. Thot/am authonzed by fhc ownorcl this property fu pudorrrr tho E I � (_� 'r` �i q -� <br /> n c�k!ur�vhich eppfication!s mndo and 1 comply wifh fhe Sfsfe Contrnctors Lsw 18.27 RC W nnd <br /> 296 2 C. <br /> O /� <br /> ..ignaWrc atc � � - <br /> i <br /> � <br /> .�V�9f0}�q'1] 'I <br />