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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 �� _o � _i3 <br />C�� �/�D3� <br />�f /( ��IJ�AwN AU� <br />PROJECT ADDRESS <br />%iq�o,v� <br />Owner <br />Tenant <br />GOR�rnIG� g// u/�Dc�Aw� A✓� <br />Mail Address City <br />nIC� <br />Mail Address <br />City <br />tCEI, /d 228 �'�lRlnl S'i'. ry <br />EIeCViCaI ConlfeClor Matl Addre55 <br />SUtioAESo�ti�B <br />Slate Ucensc Numher <br />5 �� <br />Proposed Use of �uild�ng . <br />Square Footagc Qf residential new construdion, remodel or addition) <br />Number ol Aevices (If low vollage) <br />Descriplion o( Work to �e Done� <br />City <br />�d���� �82A3 <br />SlalelZip <br />SIa1c/Zip <br />�6 - <br />3in - Z9� <br />Phonc <br />Phone <br />w�e �i� �Ja.s-yF�- i� b� � <br />SlatelZip <br />2Sn � <br />ConUact Price of Work <br />Conlacl Person (Plan fZr.view) <br />rnone <br />A G(�-G�/IT Folt— � N6v✓ �UGi �t.fSl NE�d/'� <br />�'(SAn+P <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily Ihat I fiave read and ezamined fhis applicalion and know fhe sarne fo be fnie and <br />conect. AI! provisions ol laws and ortlinances govemm� fhis type ol work will be complefeA <br />wheflier specified hemin or not Thc gn. nfing o/ a pennit does nof presmne to givc aufhonty to <br />violafe orcancel lhe provisions o/ any othe� sfale or local law regulafing construction or Ihe <br />perfonnance o/ consln�clion. Thaf 1 am aulhonzed by fhe owner o/ lhis property to pedorm fhe <br />work !or which applicafj,on Is m�dr, and I rompty wifh the Stafc Confractors Law 7827 RC W and <br />296.200 WAC. �% J <br />R_ry�SFO V.O�U <br />FEE <br />5d�oo <br />PERMIT# <br />E 131(— 61� <br />