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-- — -- — — � — <br />ELECTRICAL PERMIT APPLICATION .� , <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT. WA 98201 <br />4?5-257-8810 - FAX 425-257-8857 - www.everettv�a.org <br />,�,� l7 rIr✓,� �.<.�� �.G ��i�r�t' �� C��¢ %��o� <br />PROJECT ADDRESS <br />i"C h� 7i�.", �l-E�I�, r���/� _ <br />D�.��e� 1.1ai1 Address <br />�>. ��14�� 1�1Q.CC�� �t�"� ��l%s��. `�'�r� 7 <br />Tena�t -� `� 1,1ai1 Atldr?ss <br />Electncal ConiraClor `Lal AAdress <br />F ti12 �`.�� �ca > L D <br />Stale L�cense Number (reqwred) <br />� <br />Proposetl Use of Buddinq <br />�, _�0, 000 <br />', Square Footage (N residential new conslruction, remodel or add.".ion) <br />p <br />�� Number of dev�ces (If low volta9e) <br />�', Descnpt�an of Work to �e Done. _�/,.�Sf�`�--- <br />9 `l YiC� <br />Ciry <br /><�� � � � <br />cav <br />C�ry <br />ia�,3r� y��i <br />Slate2ip P�cne <br />' P�O <br />1FlJN I � <br />SlatelZ�p <br />State/L�p <br />P�o�C <br />Phone <br />C%:� 3.�? C� l� <br />City of Everett Business license Numbe� (reqwred) <br />_� ? � , �l y 3 `'� — <br />Contract Pnce of Work <br />�,j�t�t ( ' �/�J`' 74L•_ i� `1�g ,L:.l�i. A'r,ns�n <br />ConI2c1 PerSonlConta� ct NumbedFinail �'�aS�iw:�� , <br />{i� • <br />CcU"1 <br />�EE ---_ li <br />C�TY OF EVERETT LOCAL SALES TAX CO�E IS J105 � i� �� II <br />1 hcreby cer+dy fhaf I have read and exarnined fhis apnhtafion and know fhe same fo be lruo and � ! -.----- <br />correcf All provisions ollaws anAordinancns goveming fhis lype ol wo�k wi0 be complefed � j i <br />whrfher spec�fied hm�-in or nof The granfmg ol a Vermrt does not presume lo grve aulhonty to PERMITY � I <br />violale or canc3l the provisions ol any o(her stafe or local law regulalmg consl�ucfion o� the r� I�O � o I� <br />peAormanc�{ o! consfruclion. That 1 am �ulho�¢ed by fhe owne� o! this property lo peAorm the t <br />wo�k lor wh/ dh applicahon isq� a dQ an d I co m p ty w i f h I h e S f a l e G o n f r a c f o r s L a w 7 8. 2 7 R C W a n d i__ __ _. <br />296 200 WA�. I I <br />� <br />