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� - - - - - - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3�00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-2�7•8810 - �AX 425-257-8857 -�vww evereltl•�a org �(_� Q�(; I <br /> � , 4a�f—,�� <br /> 11� �7 1..u.�Jke.,- A-�� — <br /> PROJECTADDRESS <br /> I�if�.z. (�Je51-vv�.c.-�1 t1cJ`( '�-<--�Jc.�,� /l�� �'vu-e�{" �/� `lZ5359-37i7�'S <br /> Ovmer AtadACdress Gry Slate2p Phore <br /> Tenant �4adAddress C�ry SlalelZ�p Pncne <br /> L�nd.�-�r�J+,'e 7av /So�'^ ,4„z ,�E �e.G�a"al C✓,4- 98rrs� Uzs-ass- z �a Y <br /> [iectricalContractor t:lailACCresS Gt/ SlatelLp Phone <br /> L;n��z4Ll,m8 ZJG— -- <br /> Slale License Numb<r Contratl Pnce ol�Voik <br /> -��R <br /> Proposed Use of�uilding Contac!Person (Pian Review) <br /> Square Footage Qf residential new conslruction, remodel or addition) I <br /> Number of devices(If low vottage) <br /> Descriplion ol Work to He Done: jn;yr.u�� r Ce.�ac.L�! �o y�a.�5 F(r�_���e_ <br /> FEE -- — - <br /> CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 �OG� <br /> 1 hereGy certi/y fhaf I have read and exarnined Uiis applicalion and Fnoa Ihe same lo be I�ue and <br /> co�recL All provisions ollaws and ordinances governing Ihis type o!�+•oik�si116e comple(ed <br /> �vhethcr specified he�ein ornol. The granling ol a permit docs no(presurne lo givc au(honty fo PERMIT� <br /> vio/afe orcancel Ihe provisiens o/any ufher slate orlocallaw regulaling consl�ucfion o�Ihe � <br /> perfoimance olcons�ruc(ion. Thaf 1 artr au(honzeJ Ly Ihe o�vne�o/lhis prope�ty(o pciforrn ihe E I � �— I 3 <br /> ��.o�k ler�vhich uppficafion Is m�de and 1 compty wdhlhe Slafe Confraclors Larv 18.27 RCLV and � <br /> ?9G.200 WiiC. <br /> ��� y��- �y <br /> Dalc ---- <br />