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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT, WA 98201 `��_�// <br /> 425•257-8810 - FAX 425-257-8857—www.everettwa.org �� r <br /> � 9�2n3 �i4�v-F6 <br /> � <br /> C� o � 6 s�,�.�->I � „ ����- �, �- A ,��z <br /> � PROJECT ADORESS g <br /> 9 <br /> �J,�-s}-��v� �!-��crl I 9�?� �N���- 5-I� .�. /'1oti r�-� w/� ?�X-a'So-�' <br /> iOwner Man nearesa C�ry � Sule20 P�mc <br /> ITenan� AWII ADdresc City Slatc2p Pnone <br /> E�CCViWI COf112Ctof AUiI Addrese Ci�y Slate2D P�ono <br /> Slale License Number(required) Ciry o(Everett Business License Number(reqmreC) � <br /> tGP_s I V`Q"��� t=ti� <br /> �� Proposed Usc ol Builtlin <br /> 9 Conuacl Pi�ce ol Work <br /> ' Jus��,��{- t f- � 9so-ioc z,�_ <br /> Square Footage(If msidential new consWction,remodel or addiGon) Contact PersonlContac�NumbeNEmaii J-1S'I St�� zh., <br /> NumDer ol devices(II low vollage) <br /> Do.cnp�ion ol Work lo Be Donr. I�e.. (�I C�i-L / _ `o--�'� ��C��h=•-�-I �Ctlr�.--I <br /> Ff E <br /> CITY OF EVERETT L000.L SALES TA%CODE IS 7105 �]� <br /> 1 hereby certJy fho!I havo msd end cxemined lhis epplicetion end know fhc srfine to be We and / <br /> rArrvcL All provisions ollaws and orclrnances poveminn fbis rypo ol woAr will be completed <br /> wAelhor spoc�ed hemin oi noG Tho granOng o/e pormit doos nol prosumo to givo ou(honfy fo PERMITlt <br /> � vio�olc or cnnccl!he proviyons ol ony ofhcr sfefo or locul luw mgulufing canslruction o�fhe ^ / L \ <br /> , poAomranca ol consWclion. TAaI I am aulhonzetl Dy the owner ol f�is property to peAortn fho t I ✓L( V — I q� <br /> work la which oppli[a6on is made and I comply wilh fhe S(ale Contr&clors Lnw 19.27 RCW and <br /> 296 700 WA <br /> O z9 <br /> �pruturc . � Oate <br /> n���st�umnn:oi. <br />