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— � !-- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERViCES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa org � � � D�—�,3 <br /> C 131 � _053 <br /> �S/ S � h� a�r . �.e� <br /> PROJECTADDRESS <br /> Owner (vtadAddress Gty SlatelZip Phonc <br /> Tenant Idail Atldress Cdy Slate/Lp Phonc <br /> � �l�ec'�r�?�.L �U�IiZ�S �D ZD�/ 6��4� r 5 . �'ZS�Z <br /> Elect�ical Contractor Mad Address CIIy StatMLp L�7]_ 3 Phone <br /> y�- 73z> <br /> �1�L�e 1 �l�l � ff �Z �v0 - — <br /> Stale License Number Conlract Pnce of Work <br /> 51={� - -- --- <br /> Pwposed Usc of(3uildmg Contact Person (Plan Revie�v) <br /> I�zU � <br /> Squaic Faotag:(If residenlial nev+ constru.;lwn, iumudel or aAd�tion) <br /> Number ol Cewceti(Il low vollnyr.) <br /> Descnption of Work to f3e �one V Sr�t fY(".l -�- `�C� '�� �-(��l- ��1j�s7e1�41(�.� � - __. .__. <br /> �-- <br /> �(?al_r?J �-1('IVY��. - ---- - - ---- ----- – <br /> –.—y- � <br /> f-L[ ---------- <br /> CITY OF EV[RETT LOCAL S�Lf_S TAX COD[ IS 3105 <br /> 1 hClr,by Certdy lhnf I havc Icod and exornincd fhis upplic�ilion and know U�c same fo be bue anJ _--_--.---__ — <br /> coner,(. All piovisinrrs of laws rmd otthnancrs qovnming flus type o/wo�k wrll be r.ornplefed --- - -- -� i <br /> cvhelhcrspecihed hc�wn ornot 7he yranfing ol a pem�d dor,s no(p�asume lo yrvc aulhority lo PFRMI I�?7 <br /> violate or cancel ihe provisions ol,iny ollier sfafe or local l.iw regulaling consf�ur,lion or U•„ E l 3 ( l-0 53 <br /> perlornuinr.e ol rnnstnichon. Thal l�m aulhonzr,d hy fhc ownrrollh�s propr.Ry fo peri✓m thc <br /> �vor�lor�vlur.h npp6c��hon is nt��de and 1 cornpty ivith!hc Sfalr. Conlrac(ors Law 1fJ 27 RCin/and - - <br /> 79G.200 W!1 C <br /> f� �� — -. �� -- � /_3 -- ---- <br /> si c,wio <br /> --����� <br /> ur�,�.i. �.� n � <br />