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_ __ _ _-- , <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERE�, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetb•;a org <br />i �-{�Z�1 �e� �n vr-�--� %�-1J� <br />PROJECT ADDRESS <br />� 4 <br />i Ov+ner <br />I -- <br />imant <br />, ����F�� <br />tda�l AC�ress <br />L1aJ A�7ress <br />�� ��� _ <br />CLy SIaIC�Z�p <br />Gty SlateZo <br />`Jecincal ConL�lctGr L1ailACdress C�ty <br />�SFL c a�-� e��� � <br />� Stale License Number <br />Pwposed Use ol Bwlamg <br />Footage pf residential new conslruc6on, remodcl cr addition) <br />Number of devices �I(low vollagc) <br />`� 2 5 G, 7�//I <br />�oS - � <br />Phcne I <br />Pr.ore <br />�o r� I <br />59 , , <br />SlatelLp �'hcne <br />�C75.00 <br />Contract Pricc of �Nork <br />Centact Person (Plan Review) <br />� Descrqvion ot Work to Oe uone �� t/����� ��� � � Qi � <br />� 1 <br />u <br />f-LL <br />-- , <br />CITY OF [VERETT LOCAL SALES TAX CODE IS 3105 G b'� O <br />✓ <br />I herrby r.ertrly lfral 1 h�rvc rcad and cianrined t/ris app6r,a6on , nd kno�v (fte sanro lo he hue and <br />carecL All p�vvisrbns o/lmvs anJ ordmances govennny Ihis lype al �vork wdl 6e cornpleteA --- ---- -- <br />�vhether specded hemin or nof. Thc granfiny ol a penmt does nol presume fo give aufhonty (o PFRPIIT 7 <br />��rolate o� cnncel fhe pravisions ol any ofher slate or locallaw mgiJatirg cons(nrction or the � <br />pc�lonrrancc o( r,ons(n�rl�orr. That I am aulhanzed by Ihc owncr ollhis p�opeAy fo per/onn fhe E i 3 0�-. f�38 <br />no�k !or which apphcafrorr is mude and I cornply �wlh !he Sfate Confrac(ors I.a�v 182i RCW and __ _ <br />p, �,c.0 1PTn <br />