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-- ---•-- <br />� - - — — — ---� <br />ELECTRICAL PERMI i APPLICATION <br />CITY OF EVERETT PERMlT SERVICES <br />320G CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 - wv�rw.everettwa org <br />Sal �� 5��� �� <br />PROJECT ADDRESS <br />y-�,.,y <br />� �4�j�6 5 <br />s"1.n�_y .�� lla�� ��.�- � p�� �v��� <br />Owner MadAtldress . Qty Sla:eiLp �'ncnc <br />Tenant <br />Electncal Contractor <br />tdatl Aadress <br />�dad Atltlress <br />C�o �J Sc3-iX E��c{•., < LCC <br />Statc License Number (requhed) <br />, G�o� sse ��3 00 <br />� Proposed Use of �uiltling <br />;�- -�aw� I <br />I Square Footaqe (�( res�dential ne� construdion, remodel or addAion) <br />Number ol devices (II low voltage) <br />Description of Work to Be Done�. <br />G!y <br />G:y <br />State2p <br />Slate!Lp <br />Phone <br />Pnene <br />City of [veretl Bus�ness licecse Number (reqwred) <br />Contract Price of Work <br />Contacl Person/Conlact NumberlEmail <br />�_f�- - �.,��,�D���_�,-,�. J / 0 ' — <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereGy rertdy Ihat I Iravc read and exarnined fhis applicahon and know the sarne fo be 6ue anA <br />coned. AP provrsions ollo�vs and ordmances goveminy Ihrs type ol �•.ork wdl be complefed <br />whelher specrfied here:n or nof The gran(ing ol a pcnnd docs not prcsume fo give authonly fo <br />v�ola(e or cancel the pruwsions ol any olher slate or local law regulafing construction or (he <br />perlom�ance ol consfrucho,Ji Thaf I arn authonzed by fhe owner ol this property to perlonn fhe <br />�eo�k Ior �vhich a��i��ar�of�/ is iade and 1 compty �vdh the Sfa(e Conlractors Laiv 18.27 RCW and <br />296.200�4'AC. A f1 // � <br />Fecisenae-�erora <br />�ao ��3 �, <br />FEE <br />�5 U� <br />P[RMIT:! <br />E � �f- 0 �I'- o Co S <br />