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s <br />� <br />ELECTRICAL P�RMIi f�PP�dCAiY�6� <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa org <br />6_ iz��� <br />�: � �� ` d � <br />93 � w . /������ T� ,�� v� �{as- �s�- �� � <br />PROJECTADDRESS <br />�i� Gisc�N�2 9� � � �y���i� Tea �� �� E���T--, r,v�-- /l <br />Owner <br />Tenant <br />/aNl�c—lJ C,ccL�'.t�� <br />h7ail Address <br />Mail ACdress <br />PO . BoX <br />EledricalCoNractor ��AaaAddress <br />�MQEOEM �o� /�� <br />SIaIe License Number <br />Proposed Use of Building <br />Square Foolage (If residential new conslruclion, remodel or addition) <br />Number of devices (If lov� voltage) <br />Gty <br />Qly <br />.El/E,�CTT <br />Gly <br />SWIe/Z�p <br />Stale2ip <br />Phone <br />Phone <br />��?S-3 i3 <br />�ao�O (o y�i'� <br />Phone <br />Conlracl Price ol Work <br />CoNact Person (Plan Revie�v) <br />Descnption ot Work to �e Done: �/�-STAL-L �/K L'U / r,5 %Q/L /i�l�./ n L�19 / <br />.ST.�i Q fJ>✓� /%/� � N//� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certdy fhaf I have read and examined lhis applicafion anJ kno�v fhe same fo be l�ue and <br />correcL All provisions ollav�s and ordinances goveming this type ol wo�k roill be comple(ed <br />whefher specilied herein ornoL The granting ol a pemiit does nct presume (o give aufhority to <br />viola(e or canrel fhe provisions ol any olherstafe orlocal !aw mgulating consfrucfron orfhe <br />pedormance oI conslruclion. That I am aulhonzed by (he owner o/this properiy to peAorm Ihe <br />work 7or which applicafion is made and 1 comply wifh fhe S(ale Confracfors La�v 1B.27 RCW and <br />296200 WAC. <br />FEE <br />'^O�v� <br />PERMIT� <br />E �40� _ v�5 <br />