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- - -- - --- — —, <br /> �LECTRICAL PERMI� APPLiCAT�ON <br /> CITY OF tVERETT PFRMIT SERViCES <br /> 3200 CEDAR STREET, EVERE�T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —vn�nv.evereUwa.org <br /> I <br /> E �S�o - a� q <br /> SO f T Zm�,� ,Q�e , Eve re-�� �p - a�i - l5 <br /> PROJECT ADORESS <br /> ----- -------- --------------- <br /> Oe:ner 1:adAddress C�ly Stale2�p Phone <br /> Tenani M1SailAddress ' City Statc/Zip Phcne � <br /> �n- Nc:,sC C �ec-�r;tc�� �C��)5 � � avC LS�G� -s-�C'�.'n S l✓,� ��I�_Z,��_`� 5-23`t (��13 <br /> E-IeClriCal Con�faCtof (dail Addmss City Slale/T_Ip Phor,e <br /> Z nhoues 95z QG �44 I e� <br /> Stale License Ncrntcr pequired) Cify of Everetl Ousiness License Number(required) <br /> i Q �tv� ! <br /> I ! IC S��C A'� 1 G I " I <br /> Proposed Us�ol BuilAing Contract Price of Work I <br /> nA [� � i <br /> � �VlnrfHr � - ` 4-`u� ' 1L�� <br /> iSyuaie footage Qf residenlial new censiruciion,remodel or addilion) Conlact Pers n�Contacl NumbrdEmail <br /> Number o(devices(I(Io�v voltage) <br /> Description of INoik to f3e Done: ��_� �a nqQ: i fc k-i.�-- _-_ ._ , . <br /> J <br /> i PL=[ -- -------- <br /> ICITY OF[VERETT LOCAL SALES TAX CODE- IS 9105 � rO �� I <br /> i'\ � <br /> I heroby ccrlily lh�rt 16nvc road:+nd exnmineA Ihis applir,nfirnr and kno�v the snrnc(n be truc�m:l �--_�- --- I <br /> conecl. All pwvisions o(I.ws and ordinm�ces gavernin�Ih�s lype o/r✓ork�vill be complefr.d - ------- <br /> �rhefhm�sper.ified hc�cin m rot. Ihe gr:urtiny o!a pem�i(docs not presunm(�give auflm�ity lo P[Rh11TJi I <br /> r;ola(c or cm;:e!ffi�piovisions ol mry e(her stafe orlocal laiv re�ulnting cons 7ucfiun orlhe <br /> perlonnrincu of consln�ctian. 1'hat I am authcn.ed hy�hr, o�:nerolfhis proprr7}�!o perfomi�he E�,5 � b��l� I <br /> �vork lor�vlrich applica�ion rs nr,�de and I carnply�eilb the Slale Conlrac(ors Law 1827 RClNurd __ _ <br /> 296.200 4V/1C. <br /> .�� "V _1�(/Z / � S <br /> Slgnalurc � l7atc� � � <br /> ar�;�::e�canr✓.�a r: � <br />