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09/15/2014 �8:59 3E�79a?362 il-ITELECTRiG F�GE Oi/�1 <br /> ELECTRICAL �ERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �25-257-881D - FAX 425-257-8857 -www.everetriva.org <br /> �j -- I S'�ly <br /> ?_Cv l � I�lcc��l�. �}' � i U05�b�z <br /> PROJECT ADORESS <br /> �"1;,,,,,, i�:��e.s��c,-Mut�z� 2lo f l N�e�- �1�� InS�' ��?,D�_ <br /> � <br /> rn�er n�ad ndE�ess Ciry 5�elc2A Phano <br /> " ' " 1 � i <br /> Tenanl Mad Address Gry Stnle/Tp P,ryOpe I <br /> —(-tJ T ���Y�f�t� 1�D .B� I a5�! �v1��IL� (��" �l$Z'TL 3``0'��,�9 �il <br /> Electneal ConVuctor 'da��l addrees Cry S�d��2o PhenFl I <br /> -�N-t�t.��o��- v3 ���� <br /> Stals Licon�o Number(requued) Clty of Evcrett BusmoG6 U ense NumbOr(re�uired) <br /> �.e 5 ic�cM-f l0.� 2��- ."� <br /> Prvposce Use o'Bu;lding Conhact Price otVJortc II <br /> 9quarp Footage(II residenual now conslrucUon,remodel or adCiUon) Contect PersoNCon�act N�mber/Emall <br /> Numbcr of tlevices(II low volWge) <br /> �� � � \ j� � I/ r �-Y <br /> �escrption ol Work to Be Done� �r�J �v �p `—�`—'� V�� ��� ' <br /> FE�—_' <br /> CiTY OF LVERETT LOCAL SAL[B TAX CODE IS 3f05 �� O� <br /> I he�o0y toRAy thi�1/�avo road and esamined this appGcafion ond know lhv samn fo be(ve and <br /> currocl. All provisions ol laws and orainonces govoming(hi;type ol work wiil bB compleled <br /> whe�her specllied h�rem or noL Thc grantm�o(a permit does not prosumo lo pive ou�honry(o PERMITt1 <br /> wolofe or cancol(Ae Fmv/slons ol any ofhO757ele or focal'aw�gu/alrng consnuclion or tho <br /> perfom�an�e ol Gonst�uclion. Thaf I�m auNolim�b,fAo ownef o/fhls property lo pe�f9�m(he E i y o q _ o�a <br /> a-ork lor whlch ppp�i����pn is mado Bqtl I co/nply wif Stato Contracfo�s Lsw 18.27 RCW and <br /> 296200 WAC. <br /> —�9��f� � �s�� �S� <br /> ne��senosoe:a�. <br /> �1��asv` ru-e--Q 2D� 3�. 3 z3� �«,�r�' �����h�_ <br /> � U <br />