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i – --� -- - —�_--- --- <br /> � ELECrRICAL PERMIT APPLICATION <br /> ; <br /> CITY OF EVERETT PERMIT SERVICES <br /> +� 3200 CEDqR STREET, �/�E R Wq 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettvra.org <br /> � <br /> I <br /> S� `� 3 ���D /},� s� �-� �01-� <br /> PROJECTADDRESS <br /> i (� I� S�. f.,= r�1a//�.:c� <br /> � Soc�t-��e Tc�4��'�z 5 �.� lo� y„osz.r{- <br /> � rr.mcr ------_— !�I-'} riz'�Cit/ u�� 9i��PlX� <br /> 67a�1 Adtlr� CM <br /> Sia1clLip Fhonc <br /> I — <br /> Tenanl btal Addrt:ss <br /> � �'ry Stat�P Pnone <br /> � �2f!'l�11 ����H'7� ��+� O�UY �ZbEic� /� �I���TQnL( <br /> �an,��cam�m� G�a 9Fo�Z G,�1 337 S3c�� <br /> Ma�Rddress �M <br /> I SlatrlLp P�oru� <br /> � �� !'� : � � �i3�) AJ-� � /�C� <br /> 1� State License Number <br /> r7E/� Cor.uact Pnce of Work <br /> � .-��'� r ,��� ���,� <br /> Proposed Use of Buildmg <br /> i Contad Person (Pian Review) <br /> I <br /> ISqua�e Footage(If restdentral rtewronytnrdon.rnmodel ar add�tion) I <br /> I <br /> iM1umCer of dEvice;(If low voltage) <br /> �I Ues�nphon of Work lo Be Done: ��/�/ y r7�lQ__ , <br /> � — <br /> I — <br /> � —_ <br /> � FEE <br /> ' GTY OF EVERETT LOCA�SALES TAX CODE IS 370@ �!� <br /> � 1 hcr�by^�drfylhat!have mad and r.A.�mi,ieri Mis applicri6or�and Fnow(hc samc fo be 7ruc.vnd �OW <br /> � cormd. AII piov�.vons o/fa�vs and orrfir�na�s govemrnq this type o!�wrk�tdll tre rnmplcicA <br /> viAe7herspec�ficYf hemhr ornnt 71re gn.nhnp ol a pcm+R Uoes not presume fo givr,auN�orily la PERMIT# <br /> vio!ate or canr,cl fhe pm v�sions ol any oN�er sfa(c or local law mgula Bng construc6on or the <br /> nrr/ormance oI conslruclion. Th,it/am aulhonzeG bylhe owner ol!his pmperly(o pedorm(ry� "� (� <br /> �•:ork!or whitb appl¢ahon is made and!comF1Y wdb fhe Stafe Conhaclors Law 78.27 RCW and � I � �� � v� <br /> 296.200 WAC. <br /> �� �/ �/ ���$� <br /> c. � <br /> gnaNm <br /> Daie <br /> a�v�1a27� <br />