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� ELEC�ICAL PERMIT AP�ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -wwvteverettwa.org �_s_j5 <br /> ��SvB-al3 <br /> � �U � ?� �+� �a v� Se — �I� {� � � U�,�'11� <br /> PROJECT ADDRESS <br /> � �-t '� PD goX Ifj�J�7 t;vn2��i- ::; )�:�. 1�Zol <br /> Owner ldail�ddicss City SlatelZip Phone <br /> ��.��,5 GY� �r�S. <br /> Tena��l MailAadress Cily SIaIMZip Phone <br /> Y'�u.t{pyL C::tt-,c �L li �:�o`� `{�`( V�ca',lF:c.�w� �a `7s�pS� �yiS�} �� -,-, �.� . <br /> Llecirical Contrac�or I.nail�ddress City StaleiZip y Phone <br /> W,���,��i 3oPs �q nZ.o��y <br /> Stale License Number(iequired) Cily of[verett 6usiness License Number(required) <br /> AnA27 wtc-,.,,-; "�' - <br /> Proposed Use of Building Contract Price ot Work <br /> N/�, <br /> 'T�"" r7�G^�'KDtJUM12�lJ4+UrV;',G�:w� <br /> Square Foota9e(II residentizl new construclion,remodel or addition) Contact Person/ConlaU NumbedEmaii <br /> N/Q <br /> Number of devices pf low voltage) <br /> Descriplion ol Wurk�o De Done: �sN•-`�L I f NE77 t'j �a�i n�� (I-�-0�.ie�£� K•c�'�+T p�= <br /> r-I6'-llZ � g:u.�-t� F.�,,..�� 1 6'w r�GE ��c�p�i !•J �� lAN IlS <br /> � 2 c, p{v (T5 �: ti ;: z =r.p iN tY.;c_�.� �N,'T� - <br /> rFr - — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 � �� � <br /> . fl <br /> I hereby certi/y fhat I have read and exomincu fl�is applicafion and knav fhe same to Ge�n�r and <br /> correcf. F1/1 provisions ollaws and ordinances gnverniny(his type o(tvo�k will be cnmplefed <br /> ivhefher specilicd hemin oi noL The gn,nfing o!a pe�mif does not presume fo 9ive au�hority(o pERM1Ttt <br /> violale or cancel fhe p��visions ol any other state or/ocal Imv regulating consfiuclion or the ^ I � �_O 1� <br /> peAormance ol construc(ion. 1'bat l am aufhonzed by!he owner o/fhis propeRy Ie pedorm Uie t <br /> wor)c!or�vhich applicafion is made and I comp/y wRh fhe Slele Contracfors Law 78.27/iCW and <br /> 296200 WAC. -- <br /> -- ��� <br /> 1AM�� r-�-T o e� v•l�(S <br /> Siqnnitue Y Ualr �^ <br /> HCVISEooeN6?ota I;�1_�.. ��> �H=} <br />