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— — ---- <br /> ELECT•CAL PERMIT AP•ICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> «�� S 1/1P� ��r <br /> PROJECT ADDRESS <br /> E; leen /j �arkr��� ��J-S �f�v �r:vic ev�!e-/'� l/l� _ <br /> �� State2i Phonc <br /> Owner Ma�l Address Gty P <br /> Tenant IJa�l/lddress City Statc2ip Phone <br /> _ c,� E �fL ��<< O��G.�� tn �� /�f�..Z �-G.�L r� U� �(�� 7 � <br /> Elect calContraclo� MailAOdress Gry S�ate2�p Phone <br /> F.:y JQ P� 9//L�. <br /> Slate ir,ense Numbcr(required) City of Evcrett Business License�Number(required) <br /> ,�vv <br /> Proposed Use ol Building ConVacl Pnce ol WorY <br /> �p� 5,�� je� fi��,,P� S`�1-S S��G 52S'� <br /> Square Footage Q(residential new construction, remodel or addilion) Conlar.t Person/Contaci NumbeJ[mall <br /> tJumber of devices (If low voltage) <br /> Description ol Work �0 6e Done. �"�``���n 2��^Ua�l _ <br /> FFE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �' � 5��� <br /> I hereLy ceriily(hat I have read and examined Ihis apPlication and know Ihe samc fo be In�r. and ____—_- <br /> cuirecl All p�avrsions o/Ii1VJ5 nnd ordinances�ovemuig fhis type ol worh wdl be complelr.d — <br /> �vhr.11rer specJied hc�au�or nol. 7hc granhny ol a pennd Joes nof prcsurnc lo givc aulbonty fo pERMII Jt <br /> viola(e or cancel fhe prov�sions o!any olher sfa(e or local law regulahnq const�ur.Gon or Ihe r + r"r`� � O�� <br /> pr,rfomi��nce ol con;(rur,fion. rhaf 1 am auffrom.ed by Ihe owne�o/fhis property lo pedonn the C I �J U <br /> i:o�lc lor which applicafion is rnade a�id 1 r,ompty ivdh Ihr, Slafe Conir:�r,fors Law 18.27 RCW and ____ __. _� <br /> 296.200 WAC. /�-'� <br /> ,; ���� ti -i�._iS <br /> - ` 9ignal e Oalc - - -�--- <br /> / r <br /> � rFwscooano�nia . .. <br />