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f — - — — -- - - - --- <br /> I -- - - - - <br /> ELECTRICAL PERMIT APPLICATION ; <br /> ClTY (�F EVERETT PERMIT SERVICES i <br /> � 3200 CEDAR STREET, EVERETi, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 -vnwi.everett�va.org I <br /> I Eg�s� 2-a33 <br /> — � — �- <br /> i �� l�' � ��. �L � � 5 <br /> PROJECTADDRESS <br /> '' �lc� �n� �c��� �s� ,�v�, SL" �x���-- ��3�0� gld_�� 5�� <br /> Ovmer ISailAdyress CAy SIaIc2�p Phone <br /> TenaN t.1�ilAddress C�,ly Sla'elZ�p Pnenc <br /> il , � <br /> �L,��,n �-t+��• `l3� I�� '��,J pGZ��m �I�.T �i� �� ` `C�L( � <br /> � [ledncal CoNractor I.tad Atldress C�ty State�Z�p hone <br /> i <br /> ���.� I �.���-tB� � � sa� � <br /> State License Number(required) Ci;y o([verelt Dusiness License Number(required) <br /> Pwposed Use of�uilding Cor.lrad Price ol':Vak <br /> ,,�y"An l/i�–�� ���- �(�`� � �� I <br /> iSquaie Footage Qf resident�al new construclian, remodel or addition) Coriacl Person,Conlact NumberlEmatl I <br /> Number o(devices Qf low voltage) <br /> [ ���J <br /> Descriplion ol Work to 6e Done� .����(���4 �' rm - _-- ---_ — . - ---- <br /> �I --- — -- FEF �) � <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /� % <br /> 1 <br /> I1 l�emb}�CCI}II}'(Ild�I i1�VC'IL'dt/df1J C.C.7lI71f1L'(I IIIIS OnE1I1CJI1011 and Hno�v the sanic to hr. Irue and —_ --------_ – <br /> conecL All p�ovisions of Inws and o��finances goveming fhrs fype o/�vmk c:ill be wrnplefed <br /> whefher spec�Ged hemin or noL The granling ol a permit docs nof presume tn give authonty fo pFR�dll�? <br /> violate or canceRhe provisions oI any othe�sfafe or�ocal la�•negulatiny conswctron or the [ E P� �5o z- � 33 <br /> peAom:ence ol consfnicfion That I aJ�aufhonred by O�e ow.ner oI this property fo peAnnn Ihe <br /> � �rmk(or whir.h applicalion is m �de and I cornply�vith fhc Sfafe Con6acturs La�.v 18.27 RCW and _____ <br /> I296200 W�i C. %� <br /> �r/� ' �z��� � �5 � <br /> �j`U� .- � �--- Datc <br /> I <br /> r.�:�i:!i'�...._.� . _ _. ._ .. <br />