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-425-1'_:-1666 CMHiFTI1:G 0:�.5658pm OB-1-0-:015 ?/d <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3Z00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8057 —vnvw.everettv+a.org <br /> 30 3 Sk,�L�.. L�. r <br /> PROJECT ADDRESS U <br /> S�e.dn� �1c-�'e,nzi e. �z5 �22 Iq52 <br /> Owner �dallAddress City StaleRip Phcnc . <br /> 1 <br /> Tenanl h1a11Addross C�ty SWIc(Cip Phona <br /> em l�ea�-inu ln� 1�415 6ra�du�r.�+.� C�e.�� wR ag�.oi 2 a q c�t��� <br /> Electrical Con:ractof Mail Address Cily SIa�dZ'p Phonn <br /> Cf�1N�AM�4g�1 b►� o I (o Oq g <br /> Slate License Numbor(required) City of Everett�usiness Llcense Num6er(requfred) <br /> 25p <br /> proposed Use af Building Contract Price of Work <br /> �.lot�.� �25 259 Q�S� <br /> Square Foolapo(If resldenlial r,e�,v constructlon, remodel ot ndd�ticn) Contacl PersoNConlacl Numhed[mail <br /> Number al devices �If lovv voltago) <br /> pescriplion of Work lo Bo Dono: I 1 l�IIWVI �M�+ � O� /IfCQ �� <br /> rEE <br /> CITY UF EVEREfT LOCAL SALES Ti�n CO�E IS 3105 � (/�J <br /> �� �. � <br /> 1 horoby certity Iha(!havo rund nnd oxaminad Ihis opt�icatimr nnd I:no«�Iha sornc(o bulnio and <br /> cormcL All provislons of lmvs nnd ordinancrs gavurning Inis iypu olw��k u•il!Le complclad <br /> whelhorspacffiod fwroln arnoC 7hv gr�nfiny o/a peRnit daus nof pre,urno fo givu dufhonty(o PERMCT# <br /> vlolaluorcancollhaprnvlslonsolanyofhersfu(oorlonallnwrvqufntingconsWc�im�arfho r ,/� � <br /> paAortmmca o/conslructlon. Thnf 1 nm outlionzod by diu ownef o/Ih/s property fo perlomi fhe C I J by'1— I /�� <br /> �rmk lo�which opplicafioi�Is mado cnd 1 comply wifh;ho Slola Confracfors Laiv 18.27 RCW and (J v <br /> 296.200 WAC. � <br /> ' 8 � ��i5 <br /> SlgnaWro Date ' <br /> a�isea caca�oi� <br />