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--� <br />ELECTRICAL PERMIT APPLICAl`ION <br />CITY OF EVERETT RERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />� ���� ����-- <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail �tldress <br />� 1 C�'.\ G' <br />tdail �tldress <br />�n'�-G--�n� �=�ss7[; I�q <br />Slale License Number (required) <br />���\� � ;lv � _„�-�e <br />Propos d�ldin <br />Si uaro Footage Qf iesidenlial new consiruction, remodel or adddion) <br />City <br />City <br />City <br />Cl— �� —�y <br />G �ko9—d`�� <br />$L31elZip <br />Slate/Z�p <br />Phone <br />Phonc <br />Phonc <br />_�_--�' 3 � � y- <br />Gly of [verel� [3usiness Ucenae Numher (reyuucd) <br />�� � <br />CoMrac� Pncc of Work <br />�; � u•q��1._5�2�- i�— <br />Con1aU 1'cr on/Conlacl Nurnbcr7fimail <br />Number of devices (It low vollage) <br />� <br />� , � I <br />Description of Work �n Dc Done� �� �� ���__,_'L`�. _ � e ` "��' _ � �� <br />Cf�Y OF EVERETT LOCAL SALES TAX CODE �S J105 <br />I hereby certJy U�al I havr, mad and rxaminr.d (his applicalior and know fhc sarne to bc Inir, nnd <br />coner.f. All p�ovrsions oJlaws and orJin�nces yovenung Uus fyF,o ol �varh �rdl be compleled <br />�vhefher spealied lierein or nof. Th¢ gronluty o! a pennr( docs nof p�csumc (o givc aulho.�ty lo <br />viola(r. or r,oncel fhe provisions of any other sla(c or local lai�� m.gul,itmg construr.bon orlhe <br />perinnnance ol tons(ruclion. Ihal I am nufhnrized by Ihe o�vncr o/lhis property fo pe�fonn Ihc <br />�vork Ior w0ich app6cafion i; rnade nnd I comply wilh fhe Stale Conhuctors Lnw 78 27 RCW and <br />29G.200 WAC. l—�i <br />�j�-- ��-���- <br />,,��„-�:��„ <br />FFF <br />�b � <br />PFRMII;7 - — -- ---1 <br />E I���=O�� I <br />� -- - <br />