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ELECTRICAL RERMIT AFPLICATION <br /> uITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE[T, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -�nnvw.everettwa.org �� ` I � �/ <br /> C �yo �1���3 <br /> 03 �h����-�e I (�� Q��'-- <br /> PROJECT ADDRESS y as� <br /> f�n�nn I � L��c-�� I I ���� ?�k�c�e Il�-A,����-� q�Zc�� '�89—�s7 <br /> Owner M1tadAddress Crty State2ip Fhcne <br /> �� <br /> Tenant Aiad Address C�ty Slate�Zip Fhcne <br /> �������,��i c��. o. �k q�o _�,A � � � R�Cr�a5-33�i-�3�'r l <br /> [leclrical Contwclor �.�a�l Address ae� StatetZ�p Fhone <br /> 71c^[� 55 �G P,Gh P <br /> S�ale L!censa tJumbcr Conlrad Price of'Noik <br /> � d� � <br /> Proposed Use of Building Contacl Person (Plan Review) i <br /> Square Fooiage Q(residential new cons�iucUon,remodel or addilion) <br /> Ndmber ol devices(I�lo�v valtage) <br /> Descriplion ol Wark to f3e Done: ��S,�CCd1i�'�—C%c_.7��'-�- �5�=4-�U"Jb��— <br /> I <br /> f[L= � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS a105 v/D � <br /> 1 hcreby cedify lha!1 have read ariJ etamined fhis application and know Ihe sante(o Ge frue anJ <br /> cerrect. All provisions ol la�vs and erdinances goveming fhis type o!work wrll be compfefed <br /> whether specified hemin ornol. The granting ol a permif does nof presume fo give auUionty fa pERMIT� <br /> violate orcancel lhe provisions o!any olhe�slale or local la�v iegulaling conslrucfion orthe � � �( �` � — I O� <br /> perfom�ance ol consGucfion. That 1 am au(honzed by fhe owner o!fhis properlylo pedo�m Ihe � lJ <br /> �vork lor�vhich applica(ron is made and I r.ornpty�vifh(hc Sf�fc Ccn(racfors La�v 18.27 RCW and <br /> 296.200 W�C. <br /> U � � t'j � � �� <br /> — -Si9 alu • --- Dalc <br />