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- --� � — —---- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVE��ETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 –w�vw.everettwa.org � ��(� �� rj <br /> EISO�''��z <br /> ��,�Z�'� ' /�D . � � <br /> PROJECT ADDRES Q Z� <br /> � �,� �✓�,c{�r/t� y�2s /��..y 3Z �r o/�,Y�- 1/ll�y�� l '� is'31/s�� <br /> Ow er Mall� � ��Y StalelLp �!'Phone <br /> ,` �-1 ZS <br /> � (y� tirJ� ln �ZZ � f��f�2c.�L �-�� �✓o�c7� � �`1��� a�s 3Ys <br /> �!- Co��dC� Mad�ddmss Gry Statc/Z�p Phonc <br /> J' // � / ,y �2S1 <br /> ��7/ '� �`-f C"� / // � ��J O � / � �_�/� J�f �/tc�f70i�S�t lv// 7�/p <br /> Llecirical Coniractor MaJ Address City State/lip Phone / <br /> r <br /> )<.-�'l e� �g�-T� _d�S.i_��r <br /> �tate License Number (reqwred) Ciry o`Everett �usiness License Number (required) <br /> Pro�2 5 —� ��� .,— <br /> os�d Use of duilding Conlract Pnce o(Woik <br /> 2 7 7n � f-f- ����� <br /> � i �k,�l,.. ��.�,�_ 4� z �.� ss9 i <br /> Square Footage(If residenlial new conslruclion remodel r addition) Contacl PersonlContacl Nun,bedEma�l <br /> Number o(devices Qf lo�v volfage) <br /> �2 V7�+�c r `.p�S-2 1,.� �``_�. 'e f. f�.�`�� ��:.�.� � u.v�� <br /> Description oI Work lo De Done: _ ____ � r_ -�--- <br /> �ViGL �_��—��[_�-� (7/�S /l�-���nCti'S_._�'e.�.✓�V��2.�s � ��v•�1.�'3". <br /> FE[ — f —__ <br /> CITY OF EVERETT LOCAL SAlES TAX CODE IS 3105 -� � U-� <br /> I hr.rcUy r.edily Ihal 1 havc read and exnmined fhis applica6on and knmv(he s,nm In bc frur, and ___ _ _ <br /> correr,f All provi;ions ollaws and ordinanr.es yoverniny(his typr. ol wod<vnll be complefr,d <br /> whclhr.rspec�Ged herein ornof. 1hr. granling o/a pr,rntif docs nof presurne fo give aulhonty(o PFRMII JJ <br /> violale or cancel Ihe provisions ol any o(her sfale orlocallar�regul.�fin.p consbur.fion nr(hr. E - I 3 <br /> pe�farm��ncr, nI cansfru hon. �Ihnf I arn�ufhorized by fhe owner al lhis p�operly fa pr.rlonn Uie I �b I Z <br /> m�o�k for ivhic1i � �p�� n �s rnade anJ I cumply�•ri(h(hc Sfalc ConOactors Laiv 1 U.27 RCW anJ --.-- . - -.- <br /> 29G 7�� _ <br /> �^ ZL �01 � <br /> -� �� -- --- — <br /> -- -���- 'ii;ie�— <br /> yi�jn;31 <br /> i,iVl.lu[�aPS:bta — . -. _ - —_ .—'_ _ — <br />