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- __ - <br /> - -- - -- -- -- � � <br /> � ELECTRICAL IPERMi�' APPLOC�►�I(;i� <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STRE6T, EVERETT, WA 98201 <br /> i 425-25/-8810 - f-AX 425-257-8857 -v,h+nv everettv✓a.org <br /> Ia -�'� —�S <br /> � L� SD� -I �fZ <br /> �-rj°l �_ V�p,� �i��n . D(�, <br /> PROJECT ADDRESS <br /> , OwnCr Cad�tlOress C�ry State/Zip Phone <br /> T2n2nl '.1aliAddress Cdy Sfate�Lp Fhcne '� <br /> j '� �1�.C�r�(, �C�'1?.S���-� � �_��Z� I <br /> [IeclncalCoNracter L;ailnddress Cay State.�Dp �M1Q °hne 'I <br /> ��-��5� i23-`a'��� <br /> ( N �F 5�15?��G—, — �4'� I �g ; <br /> j Slate License Number(requ��red) �— G;y o1 Evere't Business License Number(required) <br /> II S�K _ — � — -- <br /> ��' - <br /> '. Proposed Use of�wlding Contr3ct Price ot Vdork <br /> I �����Q���1� -- I <br /> Square Footage(I�residential new construclion, remodel or addition) Contad erson/ ontact Numbe�, -mail <br /> I <br /> I Number of devices(II low vollage) <br /> II Dr.scr�ption of Weik to Be Done� IV�C�'Q�_��L����� ��—�-1`(7�w� — <br /> ]. �,��� (� Y � <br /> � �\� �� 'V����`_i�-. ---� <br /> � <br /> FEE �I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 50 O� I <br /> I1 hemby ce�}ily Ihaf l l�ave mad and examined(his applicafion and kr;o�v the same!o br. Inie and . _J � <br /> ; conntf. All provisions of la�vs and ordinances govemmg this(ype ol wolk w�ll 6e canple(ed - — — <br /> whe(her spec�(ed hemin or noL The granfing of a permd ooes nof p�esume(a give aufhonty to pERP11T« — � <br /> violateorcancellheprovrsionsolanyothm�s(afeorlocallawregulafingconsWcGonorlhe � iro� I �� <br /> peAomiance o/conslrvc6on Tha(1 am authonzed by fhe o�vner ol this propeRy to pedorm fhe I� � <br /> work lor which applicafion is made and 1 comply�vith the S(ate Confractors�a�v 1H.27 RCW and __ _ _ � <br /> � 296200 WAC. I <br /> I ���-� �/^3 � _ <br /> S� ature � Date <br /> I <br /> I -,.�.�;•ua.eaaw - — — —_I <br /> l—A——__ ___—._—— — —_ _ _ _. _ <br />