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� � , <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3'L00 CEDAR STREET, EV[RETT, V�'A 98201 <br /> 425-257-8810 - FAX 425-257-8857 — www.everethva org <br /> l�-o �f—ly <br /> C �4�2-oz�3 <br /> 630o f�e/�i II Cree/C P�CW�/ s rE 6-�uo <br /> PROJECT ADDRESS <br /> -- z° i�#-G 63�a ��le2R, �� �e��� ���l�y E���f �� � g�� <br /> O�•:nCr L1atl Address Cny F�a1r.Qip Pho��c <br /> �a�s=�qr-33 a� <br /> Tcnant IdaJ Atl�lress Cny Si�lc2ip Phonc <br /> .5-�- Q�r�(35 Ni R 2-'=d s� �i�,� li✓��o5� �aS- ���-dcm, <br /> � <br /> Be�;;bic;d COntra[lor fdaJ�Atlmss ly Slnle2ip Phone � <br /> I 5EQ �i,oEL q7� S`� �f-b6 �fS _ <br /> I State i icense Number(reqwred) Cily o� Evercll Fiusiness License Number(requiretlj <br /> � 6��=° ' <br /> - i <br /> Proposed Us^ol f3udding CoNracl Pnce of�Vork � <br /> D�,N ��1�� a�E-�g�-s�so <br /> Square Footage pf residenlial new consiruclion, reniodel or addihon) Contact Per;nnlConl�cl NumUedEmail <br /> I <br /> Number of ticvices(II low voltage) � <br /> Descripl�on ot Woik lo Oe Oone —�—F4S]�1�� •�fl� �'(e� e� 2Lb�I � _ ___ !i <br /> i <br /> — i <br /> FEIc -- <br /> CITY OF EVERET? LOCAL SALES TA% CODE IS J705 � �� �� <br /> i , <br /> �hereby cerlJy Ihal I have�ead and exanuned fhis apPlicahon an�l�<no;v I�ir. snmr. fo bc lrue and _ <br /> correct rlll prov�sions ol la�vs and onLnancos 9oveming Ihis lype of work�:�dl be cornpleleU <br /> ivlirll�cr spcuGed licrem or not �he 9renfing of a Pr.rmrf docs noI presum�r lo grve aulhonty lo PLRMITY <br /> viol.�le or cancel(he provrsions ol any ofher slafe or local lnw re9ulaDng eonslruchon w Ihe r <br /> perfo�mancr. o/consbucfron. Thal 1 am aulhonzed by!he owncr ol ilns pmpe�ty fo perfornr Ihe C � �Ir Z � D,� � ! <br /> �vafc lor v;hich apPhca6on rs mndc and I comply vnlh fhe Slafc Conlrucrors 1 aw 113 ?7 RCW.nd � . <br /> 276 ?00 V✓ . _ . — � <br /> � a� a.�, �� <br /> Dalc � � <br /> tiign;��u� _— <br /> cr v�:Phey,n..:'ni�: <br /> L____._ �__ __ ._. .__ _ .____ . . _. . ___ . _ .. _. . . . ___ __ ___._ _ ..... . <br />