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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETi, WA 98201 <br />425-257-8810 - �AX 425-257 8857 -��nv everettwa org <br />��1 �(� LI'`" �L S� ; �vPXe� _ <br />PROJECTADDRESS <br />�i��N�ly <br />� )�f04--b� <br />�unlba��", `��c�ndon t Er��l� �.��e, a� a!xrr� So�-�01'� <br />OwnCf Mail Address Cdy State2ip Phone I <br />Tenant <br />A7ail Address <br />Cdy <br />State2ip Phone <br />—1`%W !(i � ' � _ <br />L=leclriCal Coniraclor IAa�I Adtlress City State2ip Phone <br />Stale License IJumber <br />�ssi�r_� <br />Proposed Use of [3uilding <br />����— <br />Squaie foot. ge Qf residenhal new conslruclion, remodel or addition) <br />�� <br />Number ol devir,es (II low vollage) <br />__J`iv — <br />Contrad Price of �^✓ork <br />��"'�_'—\---- <br />Contact Person (Plan Reviev+) <br />Desciiption of Work lo f3e Done: _�,�e��ul�5_-_ _. �-� 14Y1.0.�_—. Ll_(i �1 � S.� <br />1 1 V <br />S'ZC1S�' �rS --S W � 1�""`�J-� r� 0— �� P�-'15'- -- <br />J <br />CITY OF GVERETT LOCIIL SALCS TAX CODE IS 3105 <br />I liereby cerfi(y fh�f 1 have read and examfnr.d Ihi,^, applicn6nn and know Ihr, snmr, !o bc hur. ,�nd <br />corrneL All prrrvfsions o1 la�vs and mdirrnneas governing lhe; lypr. nl �vork witl be conic!elr,d <br />whc(ht�rspecr/icd hwein ornoL T hc g�anbng ol a pmmit doec nr,� pn�sumr. lo!yvr, aidlnnty !a <br />v�olale or canr.el fhe provisions o! any ofher sfare o�local la�:� regul�finy consl�ucfion or (iie <br />pcAomiance ol censlruction. ThaU rvm otifhonzcd by Ihe ox'ner u/ Ihis p�opafy lo peilonn Ihe <br />�vmk /orwhir.b applic�lion is made nnd ! compfy wdh Ihc SI'ulc Conhacfn�s Lew 1 B 27 RCW nnd <br />296 200 W�C. <br />Ss��J4.ecr_v�.L�a�— -- 2.�2�( �t <br />sqna� —oate <br />i.r �.r�t i, i^roii <br />u��___ ►'�.Cak,�-� <br />FEE <br />�0 00 <br />i�ERr�nra--- <br />� <br />E � �fa `� 0�g� . <br />1 <br />