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_ -� --� - - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> i �5�9- l.��s/,��i� (,�� <br /> PR6JECT ADDRESS <br /> �/f���s__�����z�vC,, ���� 1,��- r��6 <br /> O�vner Mad�dtlress � CA��� SlatclLp �c/r7�! ��n2 <br /> ✓ v� v l�P��� <br /> Tenant MailAddress City StalelZip Phone <br /> Electrical Contrador Mail Address City Stale2�p Phone <br /> �'(���1/�' / g Cd/�.P/"Ql',9`IlG• <br /> State Licensc Number(required City of Everett Business License Number(reqwred) <br /> proposed� 1 f�uildii g � � Contrecl Price of Woik <br /> d�^-P-P 112C/� <br /> Square Footage(If iesidential new construction,remodel or addition) Contacl Person/C,y ntact Number/Email <br /> �ili/��Cf"CO/"1 Gd /LtS� , Ca�! <br /> �7 " <br /> Num6cr of devices(II low voltage) . <br /> Deseription ol'Nork�o Bc Uona �_���,_� _-� -- — — --- ---�-- <br /> FE[ <br /> CITY OF EVERETT LOCAL SALES TAX COD[ IS 9105 � /� �� <br /> I hem.by ccrtdy Ihaf 1 havc read and examined fhrs applical�orr and kr.ow(he samc tn br, fn�c and .—_-__ lJ- .--._—_ <br /> conecf. �II provirims ollaws and ordrn�nces goveming Ihis type ol work wdl Ue complefed - <br /> wheihw�spealied hr.rcin cr nnt (he yanfmg ol a permif dor.s nof presume l0 9ive aullronty fo P[RMll�tt <br /> violatc orc�nccl fhc provisions ol any o(her stalc o� locallmv rcyulahny conslruc6on or Ihc /// <br /> pe�fonnance o/conslnir.lion. Thal l am aulhonzed by(he owncr ol thrs p�opc�ty fo perlomr Ihc E l C�(Q _ �/ y- <br /> wndc lor which applicaGon is rnade and 1 r.ompty wdh the Slafe ConVaclors L��v 78.27 RCW and ________ _ � ___ <br /> 296 200 W�C <br /> —��.L�___.ji���—"`.a"-- _.__"oatc/ U �0 �U��� — — <br /> Signature <br /> irrws�oorvoe�oia - -- -� - — � --- - -- - ---- -- - — - - - --- - - - - <br />