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--- --� -- � - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVER[TT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org � y�.�_�� <br /> [ 1401 �- ��� <br /> C��Z� /S-� � �� <br /> PROJECT ADDRESS � � <br /> A,v�o,v-_o w Nl�u'/�^� l'0 3Z7 /S� �G .S� �UIZ�ii (.�A /".TZo3 <br /> Owner tdaJAtlJress City State/Zip Phone <br /> S�l'1�- Z/7�> <br /> Tenani Mad Atldress C�ly Slate2ip Phone <br /> tiic�,�1 2�Uc�2 �GtC�2zC i2�1o�( Ss'`� kuc .S� fUl2C%i f�A- S�2a� _ <br /> � [lectrical CoNractor 1.1a��Address Cdy Sta1MLp Phone <br /> 5��3t�-3Zz� <br /> NO(LTH�E��,2J j _ 200� �:u -- <br /> Stnte �icense Number Coniract Price ol Woik <br /> 5F '� <br /> Pioposed Use al[�uildinc� Contacl Person (Plan Reviev+) <br /> Squ�re Foolage(9 residenhal new canslruclion, remodel or addition) <br /> Number ol devices Qf lova vollage) <br /> Descnplion of Wo�k to [3e Uqne�, _ _ ��SLd`w�cC'/ � .Q� co+a Y fGT 6�F (�4S /-✓C n e C.e <br /> � <br /> I F[L- ----- _-- _ <br /> CITY OF EVCRETT LOCAL SAL�S i�AX CODE IS J105 � O C� <br /> 1 hemhy caLly fhal I huve ir.ad and r,x;unrned Ihis applrc.�finn and know lhe samc lo be fnic and —_- -----.-- <br /> r,o�mct. All prr,wsions ollaws and orUinanr,r.s goveming Ih�s lypr. o!work wdl be cornpleted - <br /> �vhefhr.r sper.dicd hr.�cu�nr rrof 1 he yrnnfmg o/n pennd dor.s nof presurt�e!o givr, au(honly fo P[RMI1/1 <br /> v�olatc or canccl Ihc pr�viswns ol any ofl�cr sfafu or local law�i��ido6ny construchon or Uic �� � �� ' ' � , / <br /> perlormance o!consln�r.fion Tha(1 ont aulhnnzed by fhc o�vncr o/(his p�operty!o pe�forrn the 1CJ <br /> work lor which apphr.a6on is madc.ind I r.omply wifh fhr. Sfa(r. Contrattors I_atv 78.27 RGW�ind -- -- _ -----_ . <br /> 29G 200 LVA',' <br /> / _, /-�7-�'� <br /> ._—' _Siqna mr, —_...___—. ' _ '.' __—__' Dall' <br /> � utec.rnv.��,n _ I <br />