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, --- — - -- <br /> — -- - -- -- --- ---- -- <br /> i <br /> � ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -�•rv�nv.everettwa.org <br /> I �,�6 _i5� <br /> '' l � ( �/ ,�'ucr<�� i�vF ( �'2� a -�S <br /> PROJECT ADDRESS ! <br /> I <br /> �I <br /> xrosrtua MC �uK _ v s 3y7 _6� <br /> Owner hladAtldress C��ly SlalcrDp Phonc <br /> I <br /> i ' <br /> Tenani hlailAtldress Ciry Stale.'Lp Pn�ne <br /> i <br /> � M�v�,�i� �:�cc,i�z<<- corNc 35lSSHo2(� G-v �s.�R �92or �.�.y 25z- y8�7 <br /> � EledriealContradcr t.1a�lAddress Q;y Slate2�,p Phone <br /> � McG ( tJf=C,003NT (� 3�3YQ <br /> IState License Number(reqwred) C4y of Everett �usiness License Number(req�ired) <br /> � �Z � <br /> �I Proposed Use of l3udd�ng Conlrac�Price el 4�brk <br /> I /5 t�0_[� i— 1 O�O�_�_�}��,� <br /> I Square F-ootage(If resideM�al new construd�on, remodel o dd�hon) Contact Perscn�Contact Num6edEmail <br /> i Number of devices(II low volta9e) <br /> � <br /> �I Description ol Work to 6e Done� _ .(ZFPI(aGF FXSr) f lN� /oa ��l�S�ZUII.� W��{� Nr—b-� <br /> �'i 7.00 ANk) �v�'_1LNUa� $I�U�C.�=� <br /> ' .— . _—_ _ —_ — <br /> I �r fZF_WIILF t'(�45L _ — <br /> � FEE -- ---- <br /> ICITY OF EVERETT LOCAL SALE�TAX CODE IS 9105 ��q O v� I <br /> I hereby cerirly thal l bave iead and examined fhis application anci kno��v the samr. fu be fnie�nd _ I <br /> co�n�c;. All provisions o/laws and orclinances goveming fhis type ol r�ork�vdl Ue complefeJ -- <br /> c�he(her specdled herein oi not. The gmnfing oI a penn�t does not prrsume fo give au(honty to PERPIIT� <br /> violate or cancN the p�ovisions ol any ofher s(afe or local law mgida(ing construction or U�e E � r �� <br /> perlonnance o/consWc(ion. Thof 1 am nu(honted by fhe owner o/fliis propeAy fo peAonn fhe J��l I <br /> �rork for�vhich application is madr and I cnmpty�vrflr fhe Stafe Confnctors La�v 78.2'RCIA'and __ <br /> , 296 200 WAC. <br /> ��J� //// \ m - /9-/S1 <br /> alure Dale <br /> �_r-`.sra r;rs:�n� <br /> ______.—.--__ __— <br /> « .._—.. — —_— —'— __ __ —_— _ <br />