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12i0J�201J 12:10 T.�S a25JSJ8AJa Erersreen Securlq• m 002 <br />• • <br />ELECTRICAL PERMIT APPLiCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVFRETT, WA 98201 <br />425-25J-8810 - FF,Xa25-257-8857—www.everetlwa.org <br />� � -0u -� 3 <br />. C � 3iz-�� <br />�,'i � � Ta,� 1 � '� �-Z <br />PROJ ECT ADDRESS �(p -!.� �}p- ( �� <br />�2,t,�sse,l l l[�,UP.0 �� I�i "CCu aloY ���^'��re�{' t,�A� ae2o3 <br />Owner :'all MCress Clty SIatGZ�O Pnone <br />�� ! — <br />Ten�nt hlad Ayd�ess Ciry State�llp P or a <br />�{Ksv�-� � <br />�-��1�t o.� SP�:w+�i.l� �tl_� �Y�td.���a.�„-� l�l �� uSl�-agZ.� <br />EleUncal <br />Idail <br />�v'�e.��s.► � ��� <br />State License Number <br />�2a,��4-,.a,f L-�-e- -- <br />Pmpoyed Use of Bwlding <br />tiq�are FooW,e (If rcsloenhal eew construchon, remoael or adadior) <br />� � <br />Number ol devites (Il low wliege) <br />Description o' Work to Ge Done <br />Ci,y <br />Stute'Z�p Fnone <br />�'�{'�a, � <br />contrac Pr�ce ot WorK <br />�Ll/�' ` 1 �' �'�'l" " � <br />Contact Pcrson (Plan Review) <br />J � <br />v <br />- D JR . 3 -_Ca n1,�+��. S - � �e.,� - s - <br />CITY OF EVEHEiT LOCAL SALES fAX CODE IS J105 <br />I heruby com/y (na� � havo road and oxammx�� rn�s applicn�ion nntl know thc same to Ac truc nntl <br />ro�rrcf All provisions o! lews antl ordlnences poveming fMs p�pe o! woiN will Oe completed <br />whathpi 5p0d�od hdram pi nof 7hu gmnGny of a pertNt does nof presumr. fo give uufhonfy fo <br />violnM or car.cel the pinvision� ol eny nfher stefe oNocn� IO�v rp.gulofmg consfrucfion or tAe <br />peAormance of construchon. Thnt 1 am aufnonzed by the o�vner olfnis propeAy to pedo�m thn <br />work for whrch application rs modc ond 1 camply with !hc Stotc ConfrOt(ors Law 18.27 RCW und <br />FE✓1SE0140'U <br />r�t <br />r�kMrra <br />E�131�- (� <br />