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II _._—_. _ _. . __ .___—_ —___'—.__--_ ._ _ __ _._ __—__ <br /> ELECTRICAL PERMIT APPLICATiON ; <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257•8857 -vn^rw.everett�va.org <br /> c�. � <br /> 10a0\ � - �c. S� . i <br /> PROJECT ADDRESS ��Z�� �I <br /> �z���nS�a�ba,�^� 1�Z0\ �� �� S� EVfl �-{{.—WA �ib2�9 3So - Uo46 <br /> Owner fda�lAatlress Cdy StatelZ�p Phone <br /> I <br /> Na I <br /> Tenant Idaiil�Cdress CAy Statc;hp Phone I <br /> O w"�-� <br /> Eledncal Coniraclor I+taii Adtlress Crty State�Zip Phone i <br /> --� <br /> i �� _ <br /> Stale License Number(required) City of Everett�3usiness License Kumber(requlred) <br /> � �JL�a c� eJ �—�c�r�a��. �� — — <br /> ' Proposed Use of Dwlding CoNract Pnce oi Work <br /> ���� ✓���� '�7S �`�C, - C,0 `�l� <br /> ISquare Footage pl residenliai new conslruc6on, remodel or add�dion) Ccntact Person�Contact NumbedEmail 1 <br /> � l�' ZO � OJkle�'S '� 220 <br /> Number of devlces(If lo�� vollaqe) <br /> , Descriplion ol Work to De Gonc. <br /> �`�.r<.. at LL�'-� o c�,..� cl ��-.rn oYC.. i <br /> � <br /> —_ ' <br /> FE[ <br /> CITY OF [VERETT LOCAL SALES TAX CODE IS J105 ��s�O <br /> I he�chy certJy lhat 1 have read and ea�,�mined(his application and knew Ihe same to bc Wu and �. — _-_ <br /> conrct. Ail prov�sions ollmvs and ordinances govemmg fhis t}q1e o/�vork wdl be complMed .---- --- <br /> nhcfhcr specfied hemin or neL Thc granfing ol a permit does no(presumc fo r;ivc aufhont}�to PERPII i?t <br /> violale or cancel the p�vvisions ol an}�ofber s(ale or local Imv regulaGng conshuc(ion or U�e E 150�i - D � g <br /> pcAomiance n!ccnshuction. That 1 am.u(hon.ed by the ownero!Ihis property fo pedonn the <br /> �sor�!or which apulicalion rs rnade and I compty�•�ifh Ihe Stafe Contracfors Lmv 18.27 RCW and <br /> I 296-200 WAC. <br /> �"� ca_�— �_� 5 -20 -lS <br /> � ( \ � <br /> Signalur: " �atc <br /> I <br /> �:t v�src can�.:-o i, <br />