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� � ELECTI�ICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org g�- j--1 S� <br /> � �D���v <br /> , <br /> `� D � `' �' '� r1 v� `_� — �Ic�� � - � U11�f3 <br /> PROJECTADDRESS J <br /> � {� � Pn �3n}- ( ;`(7 r,jY�€ 'rr� �. )c. ��;?vl <br /> L <br /> O�met hlail Address Clly Stale/Zip Phone <br /> �cTa C_lfA 5 loYi,+.K �{�5 5. <br /> Tenant IdailAdUiess City SlalelZip Phone <br /> � �I <br /> Y�Nlit�.GPf'�` �.1.['. .!C"L. �i �:O`�( ���� �ti(��(.:.41N�J a.�sl �tU1��?� t��i!�� '.>. • � _ <br /> . .'� '. <br /> I[leclrical Conhactor Mai�Address Cny StalelZip ' Phone <br /> I ���4�ii �'oA �'� n2.o(��y <br /> State License Number(requiied) City ol Fverett Business License Number(required) <br /> APa2 r titi;E »� ^. - C.�)YY�YIIQ� — ��` �Z�J O c� <br /> Proposed Use of E3uilAing Conlracl Price of Work <br /> N/n <br /> '"(��'" T:Sia^PNoni�la7Yt ��NN�-lrVr.��'�'�, <br /> Square Footage(II re;idenlial nevi construclion, rernodel or addition) Contact Person�Contacl NumbedEmail <br /> �/G <br /> Number ul devices p(low vollage) <br /> Ucscription of Work to Qe Done. L��.••.���-I�E r.�cr:�,-� �:n�i nib G��.-O� tc C�� �t..i:'�'�+"j� ��� <br /> Llh'iiS � Ft,�-t� F.4._a5 � 6'(3r•�bE. 41;.t�ys !�J �G 1.1NI1�.� <br /> � "L c. R �., r'r S t � r� � 'r:p i�.i t n�.� ;.�., �-T <br /> � <br /> F[[ <br /> CITY OF EVEREI7 LOCAL SALES TAX CODE IS 3105 � �O ! OD <br /> l hereby cerfity fhaf!Irave reaJ and exarmned fhis application and know the same to Gr, tiue and <br /> correcL All provisions ollaws and oidinances goveming fhis(ype ol work will be comp�e(ed <br /> whclher specilied hemin or not. The granting ol a permd does not presume l0 9ive au�honly(o PERMITJt <br /> violate or cancel the provisions ol any olher s�afe or local larv mguWting conshucfion or fhc <br /> peAormance ol constiuclion. rhat 1 am aufhonzed 6y Ihe owner ol this proper?y to perfomi the E I�v�—�I 2 <br /> w�rk lor�vhich appliwtion is made and I compty wrth the Sfafe Contracfors Law 1827 RCW and <br /> 296.200 WAC. - <br /> -- �--f'��� �.� os� oylrs <br /> siyna�urc r u:no --- <br /> nevucoueoa:m+ t311-L. -R? E�tQ <br />