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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8B10 - FAX 425-257-8857-wwv✓.everettwa.org � _�a� � <br /> � I�{o6-Dg7 <br /> 2`� 22 C.n���� ,��e S���e 200 <br /> PROJECT ADDRESS <br /> ��MV �11ecC� ��.C- S8�J3 lexcs l�r. �rnr�y�C' ��a �l9(� I <br /> Owner Mad Addrcss Gry Stale2�p Pnone <br /> Snol�om� �nE., t��6�;r (�orcler� �sx `�722 (�IG,,�1�ve ►�Zo� CJere4� �./a g$Z01 <br /> TenaN Mad Address Ci1� StitelZip Phonc <br /> �_�S��G�c�_.R��cg �-4 S. er�1 lP W� �iB l34 2�� 3� 32Q�S <br /> ElettriCal Conlr, tor Mad Address City Slale2ip Phonc <br /> ti.lAS��T��.2g2c3 �2.�0 � <br /> Stale License Numher Contract Price of Work <br /> ProposeA Use al Duilding Contact Person (Plan Review) <br /> Square Footage Qf residential new conslruction,remodel or addition) <br /> �J' <br /> Number ol devices(If low volta9e) <br /> DcScriplion of Work lo Bc Donc� ^ f � _G(��_���$_SQ(�C� � �'��pAaO�.. <br /> Lo��r�L�s . 2 mn}ib� r �1 do c�r��_con4r c{-5 <br /> fEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ri� /1 "�� <br /> I Rr.mby cah(y fhal I havr, read and exnminr.d Ihis npplicafion an�i know the samr. fn be f�ur. and 1,/ (f <br /> curred. �II p�nvi;ions nllaws and ordinanr,r.s gnvr,rning Ihis fype ol work wiU bo compleleA - <br /> wlrefhr.r specdicd be�cm or no1. The granGng ol�i pemuf does nol pmsume fo yive ourhonry to PERMIT;1 � <br /> viMafe or r.oncel ihe provisions ol mry other sWfe or loc��l law regulabng consfrucfion or fhe <br /> pr.rfom�anr.a olr.ons(nrefion. Th.d 1 am aulhonzed by(he o�t�ncro/Ihis p�operty lo pedann lhe E l�"O� �- U� � i <br /> worp lor which appGca6on is maJr. and 1 compty u�db fhe St�fc ConfraCfors Law 18.27 RCW and ��, <br /> 296200 WAC �, <br /> �'. /Z . /Si <br /> -- sn�n;�i � — omc <br /> i:�cr.r n.:�rri t <br />