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• <br />G <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT; WA 98201 <br />425-257-8fi10 - fAX 475-257-8857 -vn^�nv.everethva org <br />j . <br /></ -�' � i <br />L r� l � _ Lc ,��,��..� -- <br />PROJECTADDRESS <br />I _ L ci t._ Gu/iti._it/ _—I��� �=� <br />O�:+ner '.:a�l AC�ress <br />Tenan� <br />� pSd L <br />IElectrica� Ceniracior <br />Mad AdOress <br />c �� ll %� Sl" <br />M1ta�l Addre:s <br />� � � ,�-.� o� L 13 � <br />i Slate License Number <br />� /L.i�Y.�- �— <br />P�cpesed Use of 9wldmg <br />I <br />�s(� <br />ISquare Footage (L' residenlial ne�v construclion, remodel or addiGon) <br />� <br />� N��mbci ol devices (II low voltage) <br />Cdy <br />Gty <br />�c <br />ai� <br />Staie2�F <br />SI�!e/AP <br />State2�p <br />�d�� <br />Cortracl Prce of Work <br />Cornacl Perscn �Pian Review) <br />� <br />I <br />Phone I <br />I <br />Pho^c <br />Phonc <br />I / C.4l.t/ L��l (T G��ci ��;=G._[ � <br />� Desc�iption of Work lo Ue Done. _�if_.�'Y� r�'��'--1------�_-- ---�� '� I <br />l�rs!_�c�� Li, i�4s�ti_- < :'�.s 'I�r�'s.---- --- <br />j <br />3��__—'L� �.t ;.0 o -------- <br />-- — � —� -- �---- �I <br />—� -- — — —�— — ... -- - - I <br />FFF � � O � i <br />CITV OF EVERETT LOCAL S�LES TAX COD[ IS 3705 ,/ � <br />I here6y cci1�ly !ha( I I�ave read and erantined this appl�cof;on and kno�v fhe samc fo bc huc �3nd �_ —_ _ <br />Conecf. All J:rov:sions ollar✓s and ordmance5 goveminy Ihrs lype Cl r:Crk �+all be compfelcA I <br />�.hefher spec�/icd hemm or not The gian6ng o� a pemu( does not presume fo give au(honty to PERhill �t <br />�� v�o/afe o� cance/ the provisions ol any other s�ate ur local law regula(m9 consfrucGon orlhe r ��.O � _D I� I <br />Iper/annance o/ conslruction Th�t I am authonzcd by (he o�sner o/fhis proper}y !o perfonn fhe C I <br />I ivo�k /or �vhich applica(ion is made and 1 cornply v.�rfl� !he Sfafe Confracfors La�v 18.27 RCW and ._____-- - <br />296 200 WAC � <br />7 �•s 1FJ/ <br />�rc,�m �cain <br />