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--- �_— _ � — <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-P910 - FAX 425-257-8857 —v�nvw.everet;wa.org � �D 3 �)� <br /> G � �(� �� <br /> _ ��.3/ /f J �%/`�� //vC <br /> PRnJFCT ADDRESS <br /> /a.// /`7cC�,.//o� �, /lJ'/ /� ur.•� v �2ei�/1` Cr/� 9��0 ( <br /> Owner Mail ^ddress City SlatelLp Phone <br /> Tenanl MailAddress City State2p Phone <br /> :�6� <br /> �i'a�rss/b.vc / !_=/rc�_�- r1,•c C"O/_3 o� YS /�i/..�. G/�l `iJ-:2.2.3 v.P.�=G]�Z <br /> EleeiricalConiraelof MailAddress City Slate2ip Phone <br /> P✓�� �=�r .ro � 7,r_� D J�G c��- f <br /> State License Num�er (required) Cdy ol[veretl �usiness License Number(reqwred) <br /> 11�1'/a�C.�cr S �>!� .� <br /> Proposed Use ot Quildmg CoNract Piice ot Work <br /> IrOG C/��c.E /�o..r.� �/r�J=T,�(l-IJrF✓�G <br /> Square Footage pf r..sidential new conslruction, remodel or addilion) CoNact Person/Contacl NumhedEmail <br /> Number of devices pl b�v vollage) <br /> � <br /> Descriplion of Work to �e Uone. _C ��'�d'�•��r'�f=, p � ��r/��.� , �G���l-�� d�__ <br /> �li fI/OUM^ � �� _ __'_ <br /> FLE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ��O C� <br /> I hert:by certi/y lhot I have read anJ r.xarninetl this application and knotv fhe s�rne(o be bue and __ <br /> cor,�ct A�r�,ro��s�ons o�ia�vs and ordinnnces govmning llris type o/work�v�ll be complefed <br /> whel4er spea/icd hr.�eir�or nnt. Ihr. granfing o!a permil does nol preswnr. (o give aufhonty to PERMITJt <br /> viola(e or canr.el flre pravrs�ons olany olher sta(e or foc��l law reg�dafing constn�ction or Ihe �' (( [y <br /> pr.dormanr.e o!conslnicfrnn. Thaf 1 am aufhonzed by Ihe o�vner ol lhis properly fo pr,rlonn Ihe F-I �O q - oo x <br /> �vork!or�vhich applicafron rs rnade��nd I comply wilh Ihe S(afe Con�rac(ors Law 18.27 RCW and -- — U-_--- <br /> 296 200 WAC. <br /> ' � � � � y <br /> /� ,�r..{L'i--. --�--f - <br /> SignaWrc Uale <br /> F(ViSPD0A0G001J <br />