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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657—www.evereltwa.org " <br /> ,y_�-�� � <br /> G, �ro�(-i9'� <br /> �c� h'12.�� �\\ (`cQo_ A�: w �/ <br /> PROJECT ADORESS <br /> Owner (�7aJ Address Cily Statc2p Phone <br /> y� �uq 4 00 <br /> 1��,�'��c �o w�e 5 A <br /> Tenanl t�1ad Address Cily State2ip Phonc <br /> �125 �qo=��o <br /> v. ���,p Z � d-v���,�\�O P�6x �1'�SG �-U �Ce �1 �JA q�e2o�1 <br /> Eleclrical Contraclor Mail�ddress C�ty State2�p Phone <br /> T�1�1c>�� ET oS� k � � �.45�.� ,07� <br /> State Gcense Number ont ar.t Price of Work <br /> Q� -t � � <br /> Pwposed Use o Owldin� Contact Person (Plan Rewew) <br /> Square Footage Q�residential new canstruction,remodel or addition) <br /> Number of devices Qf lov. vollage) <br /> Description o�Work ro 9e Done �00 ��� ��5�'v �-Q2CS.'lX '� �E'�'�'Q \ �..V' \�� <br /> � <br /> `�' �r�.c�,. GC'������1�n cl2s ` � c�p �Ce,��v�`�— <br /> PEL -- <br /> CITY OF EVERETT LOCAL SALES TAX CODL IS J105 //'/� �j <br /> 1 hereby r.erlily "iaf l Itave«rad and examined this appOr.otion and Icnow flir. sarnc to bc fn�c anA �v `� l '� <br /> corier,f. All provisions o/laws and ordinances yuvr.ming Ihis type o/n�ork�•.ill he cornpleted <br /> whr,(hcr specilied herr,in or not. The gnnfing oI a pr.nnif does nnl presume fo give tmfhnrity lo PFRMiI�# <br /> vwlatc or r.anr.cl lhr,provisions of any o(hei sfalc or lor,al lmv rr.�ulaling con,^,fn�tbon or Ii!^ ^ <br /> perlonnnrice o/conshuc7ion. Thal I arn uufho�izr.d by thr_rn��ner ollhis propedy fo perl��m the t � y o �_ � �a <br /> �vortr!or whicB applrcafion i;made and 1 cornpty with the Sfafe Confractors Lmv l8 27 RCW and <br /> 29G200 WAC. <br /> Z� ay- <br /> Signaturc U+ e <br /> nn _ n.i <br />