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' ELECTRICAL PERMIT APPLICATION <br />i CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT WA 98?01 <br />47_5-257-8810 - FAX 425-257-8857 — www everettwa org <br />�o � y (� C�r�� A�� <br />PROJECTADDRESS <br />� �30�_0�� <br />q_!b-r3 � <br />��.-0� irVLN C•2��� L+_��1329 5�`�' H� r�-�A�V_)�t-E �'27/� <br />Owrer �.ta.� �1Ad�ess Cdy Stale�7�t� Pr�ne <br />�.� �z�--21�'3 <br />Tenant <br />1.1a.i �tltlress <br />C�I� <br />s�a�n�7�p — Pnona . <br />�Q�SS 1 N €L�-1"� � C� ` �7 1'l.J E�_Ll S `K� _ ���'TT � Z7 F� _ ; <br />FJecinCdl COnlracicr e1a�: Ad7ies5 C�ty 5�stn ; q uhcnc <br />�nti�S � � �S 7 � ----- -. _ y �s-33�2�� <br />Stale Licensv Number Contrad Pnce o( 4\bik ' <br />� nt�tA�L <br />Proposed Use of F3ui'n�na <br />� 1�� <br />�� Square Footage pf residenlial new cons'ruction, remedei or addihon) <br />INumber of devices (Il lew vollage) <br />Contact Person (Plan Revievi) <br />�� Description of Work �o He Done _ V-�J � ��OG� S(1j � Irt.7 W.� _, <br />— - - —`'s� . — <br />� f�f� . _ . . . _ . _ _ . _ I <br />'Ll <br />�� CITY OF EVERETT LOCAI SALE-5 TAX CODF IS 5105 I ��/ � U O � <br />1 herehy ce�ldy thal l have rcad and exnmined lhis apPlica(ion and know Ihe s�rne fo he frue anJ �. ___ _. _ _.._— I <br />conecf All p�nvrsrons o/ larvs and ordmances yow�mmy fhis fype ol �vork �vtll be cornpl?fed --- � <br />�vhefhcr spn.ciried hemrn or not. 1 he granhng o! a pemvf does not p�esume to grve aufhonty fo P[F.MIT�= I <br />wolafe or cance/ fhe prowsions o/ any ofher sfate o� local la�v regulahn5 const�uchon oi fhe ' E I,�o �,° 7 g� I <br />pedonnance ol construchon 7ha11 am authonzed Gy the o�vner ol fhis property fo peAonn the I <br />work lor r;luch ap , rc �f�on is made and 1 cornply �rifh (hc Sfatc Confractors f_a�v 78 27 RGW arJ �_ —_ -._- .,-_-- --. <br />I296 200 WAC � <br />� ---- — - �- —� /��3------ <br />s���,,:�« uaie-- <br />�� ,.,. � .._�� <br />_ ' _ - — — <br />