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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 />li�is �5 ii�ltccow iCOAO _ <br />PROJECT AODRESS <br />GfNtrsr�akt�t //ow��c. Ec�c.crrr L.UA `�FZo3 <br />Owner Mail Addmss C�ty Slate2ip Phonc <br />Tenant <br />Mad Address <br />Ciiy <br />StatelLp Fhone <br />�cS� <br />�ol'rr4o.0 fut�r�sL .x�c. %>.J. �r 535 WocY�n.ws.c� G.�1 4��z rxr•oru <br />ElednCdl Contf3ctof Mail Adtlmss Crty StalelZlp Phone <br />l'o�W�sv�v�uv <br />Slale License Number (required) <br />/�.r< c,�,{„vLt <br />Propos��d Use of Buiiding <br />Square Footage (If residential new construdion, rer+odel or addition) <br />Number of dewces (If low voltage) <br />�53 �o%O <br />Gty of Everett Business License Number (required) <br />�/572. °0 <br />Contrad Price of Work <br />Lp �flrl2 �S� �)vff3•U3tt <br />CoMad PersoNConta um edEmail <br />Descnptlon ot Work to Be Done: r mO 1f�fL� n�r ,�rx /M�l ���+o�r C� M[✓�— <br />. t_. • �... . . , . � r <br />. i. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heieby cer7�ly tha(1 have reod and exam�ned this application and know7he same !o De Irue and <br />correct All provlsions o'laws and oNmances goveming this type ol work wdl be complefed <br />whether spec�ed herein or nof. The granting o/ a permif does not presume fo give authonty fo <br />violafe or cancel tbe pmvisions ol any ofher sfate or local law regulafing construction or the <br />peAormance o/ consfntction. Thaf 1 am eu(honzed by fhe owner of fhis pmperty to peAorm (6e <br />work !or which applicafion is made ano 1 comply with the Sfate Contractors Law 18.27 RCW and <br />296200 WAC <br />/5 <br />Ravrsen osovm�. <br />FE[ B <br />� 5 0� <br />PERMITlt <br />EI�o'�� 0�1 <br />