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�— <br /> ELECTR�AL PERMIT APP�CATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CeDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> a�s-�S <br /> %v l 7 /��� P�� �: <br /> � isoa--��b <br /> PROJECT ADDRESS <br /> JRMES I1�'n/Dl� /a/� /�1�eP`E. S! ����! WA . �1.a1 `lLS-679-�3LL <br /> OwnCf Wail Address Clly Stale/Lp Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �'a����tiN�� E�v��y ��,�s loztis t��c,N ST 6�'NEcc., wA . 9�oii YZs-y�r-9i�� <br /> [lectrical Conlractor hta�l Address Gly SlalelLp Phone <br /> SUNDAES�b2Jy' fZOSv <br /> Slale License Number(required� City ot Everett Business License Number(required) <br /> �/_ !� �Qo, o0 <br /> Proposed Use ol Building Conlract Price of Work <br /> glt-IANG£� �ILS-'lLr/'sJirli� <br /> Square Foolage(I(residential new consWclion, remodet or addition) Contact PersonlContact NumbedEmail <br /> SuN�,oN�Er-�✓�ll.�r� G�Ms�-G° '� <br /> � <br /> Number of devices(If low voltage) <br /> Description of Work to Be Done: r L���`���� Z U�r F� �✓E`^� �A S �V�/iG� <br /> �,✓o in�itTEll- W�Ai�L � �/6� Tr�E '����'_ <br /> FEE I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 C D d� i <br /> 1 hereUy certdy Ihat I have read and examined this application a,d know Ihe same fo be(rue and ,, <br /> conect. All provisions ol laws and ordinances goveming fhis type:o/work will be comp/eled <br /> whether specilied herein or noL The granfing o/a permit does ro(presume(o give au(hority fo PERMR� <br /> violate or cancel Ihe provisions of any other stafe or local law regulafing conshuction or the r <br /> peAormance ol consVuction. Thaf I am aulhorized by Ihe owner ol fhis property ro perlorm 1he C I�,{� L� ���/� <br /> work lor which applicafion!s made and 1 comply wifh the Stale Contractors Law 18.27 RCW and �v `t' <br /> 296.20U WAC. <br /> '�-`�-1 5 <br /> Sign re Dale <br /> REVISEC O6N6?Ol.t <br />