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_ �- --. _ _ � _ _ <br /> ELECTRICA� PERMIT APPLICATION <br /> �ITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — wwv✓ everettwa org <br /> ' <br /> ; �r�7 w��v.���v �� �v�-r �Baol <br /> ', PROJECTADDRESS <br /> � p � 7 3Go-��8- 1�7� <br /> I G��'�L fVrYiMoN�j -- - ------ <br /> Owner Lta�i FCOress C�ry StatcrL p Fbc,e I <br /> ' ���J �/2S 87o-S19� <br /> 10f.ant 41a�lACCress Gty StateZp Phcne <br /> �L��9E �C.�r(=.1� - — — -- --- — <br /> Eler��i��IContractor 6�a��A�ciess Ciy State�7.; �noce <br /> E���� g3Gc�3 _ _ D ��_3__ — <br /> Slate License Number (reqwied) Cdy cf[veretl�usmess License Number pequ�red) <br /> �S�DCuc.� �r SGvo� _ <br /> Proposed Use of Buddmg Conlracl Price ol Work � <br /> I <br /> — � <br /> Square Footage (If res�dential new cons�ruc�ion, �CmodBl or addih0�) Contact PersoNCo•itact Numbed[ma�i ' <br /> �umber of devices Qf lorf voltage) <br /> Description o'Work�o �e Done .-- _W�1�'�- �v��L� YV�7Z'� 5 ���ir1 �V��'� �y�%F�I� . _ �� <br /> � ---- - -- --- �'--- - �---- , <br /> --- — --- ------ -— �----- ---- ---- � I <br /> � ��E �o� —I <br /> � CITY OF EV[RETT LOCAL SAIES TAX CODE IS 3105 �" � <br /> I liereby ceilrly that I have read and aaanr�ned flus npp6ca6on and lvio�v fhe :amv to be fn�e and ,--�--,-. ---� <br /> cormct All provisrons o/laivs and ordrnanr.es gnvernrng fhis type ol�vork rnll h.e completed � --- � I <br /> �vhethcr speaficd herein or nof The granhng ol a pennd docs nof presunie fo grve authonty to �ERPi1T1 <br /> vrolale or cancel fhe pro��siuns ol any olher sfafe or local la�v m7ulatmg conslrucGon or the ^ ' _ ( �� ' � �]O <br /> � pe�fomrance o/canstniction That I am aufhonzed by the o�vner ol lhrs properiy to per/orm fhe t f•' ( <br /> � �vwk/or wr,��n���r�,rm�,�s�,�,d����d i�omni�- �+��rn rn� sram Con(ractors Law 78 27 RCW and I`_. ___ .__7 � <br /> 296 200 WA � <br /> /�/UI � '12- � _ <br /> S� ralwc D te �� <br /> I ... .... ... ,.�.., I <br /> __ I <br />