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�_ - - - <br />I <br />�I <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET. EVERETT, WA 98201 <br />A25-257-8810 - FAX 425-257-8857 — www everethva.org <br />� ��6`�� <br />�l � �l.�C,�'2 �� 6 � ��`�� I� <br />PROJECT ADDRESS <br />�iv�l <br />��_C�� i'N C�i �Ol �} 2,V (�,_�. �V'��� �-?'LS 3� <br />OWnef �dailAddress Gty Slate/Zip PFoae I <br />Tenant IdadAtldress Gty SWte'Z�, Pnone I <br />ss�N ����c#4�. C8� �'E�c»c `�r`� �!�'f� �V �t2s-�39- i�'I <br />�� - — <br />Electrital Conlr3ctOr 61ad ACCress Gry S;a'e2�p Phone <br />�ASS�C.�B� �P� <br />Stale License Number <br />������L� _ <br />Proposed Use of 3udding <br />Contract Price of Woik <br />Contact Person (Plan Review) <br />Syuare Pootaye (If residenual new conslruction, remoGel or adddion) I <br />� I <br />i Number of devices �If iow voltayc) <br />IDescription of Work ta 13e Donc�. _ �'Y � Q- �`Cfl �y���M r_`� �� ��..`" — I <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />! here�by r.crfrly llret I havc reaAand examined lhis appli�:a6on and hnow (he same In be In,e and <br />conecL All provis�ons ot/avis and ordina;ices goveming fhis type ol work nall be completed <br />�rhe�herspeciGed hemm ornof. The granting of a pemut does not presunre (o give authcnfy to <br />violafe or cancel lhc pra��isions ol. ny otlrer stafe orincal lmv rng�datir,� conshuchon or the <br />perfomiance ol consfnic6on rbaf 1 am aufbonzed 6y tne ouner o! �hrs propeAy to pe�iom�;he <br />�:�orh lo� �a�h�ch appbcalioi is madc and 1 cnmpty �vdh fhe Sfalc Cemroctors Low 18 27 RCV✓and <br />296 200 WAC. � _ <br />... �.._.: a:mr, <br />f-LE — -- 1 I <br />5-0°� I� <br />---- --1 I <br />P[RhiT�?? <br />E� 3oC� - I ��� <br />