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ELECTRICAL PERMIT APPLICATION <br />CITY OFJ EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — �✓ w uJ -e v�vef wsr -�� ✓ <br />erun-i I. i�ereF�e.ps � �vrr�-f [,�a.�aJ <br />Z3pl —7 <br />PROJECT ADDRESS <br />Eli A 5&x I r7`i % Evc.`IT U4, % S 20 <br />Owner Mall Address City Statemp Phone <br />G'4A00'qtE-i&) <br />Tenant <br />�� <br />t vlODw LA2 l sZn21 G <br />Electdcal Contractor <br />Mall Address <br />Pb 8OX1 yg <br />Mall Address <br />Let <br />clty <br />City <br />StaterZJp <br />tea. `t��o83 <br />State/Zip <br />Phone <br />zsj 52Z-201Z <br />Phone <br />30� 07A.c,1y <br />State License Number (required) I City of Everett Business License Number (requlred) <br />Proposed Use of Building <br />Contract Price of Work <br />Square Footage (If residential newconstruction, remodel or addllion Ts G-�sa-110 T st-i>\oD4rwrL� Nu ti-u: k <br />. Contact Person/Contact NumberlEmall <br />Number of devices (If low voltage) <br />Description Of Work loge Done: COSh"cl1L "t i SAVIN(, <br />4�A 1ti ri i an'j6e }Loop$ , �. i fl7 F.'oe 7-"c <br />i i d <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ;E::1 <br />lhereby certify that 1have read andexaminedthis I pplication andknowthe same to be true and correct. All provisions of laws and ordinances goveming this type of work will be completed whether specified herein or not. The granting Ole pamrit does not presume to give authorily to PERMITIt <br />violate or cancel the provisions of any other state o, local law regulating construction or the I /" /�' <br />performance of construct/on. That lam authorized by the owner of th/s pmoPrry to perform the E I5 l D - / y/ 1(_,) work for which application Is made and l comply with the State Contractors Law 18.27 RCW and V j I 296.200 WAC. <br />WWI <br />Rewseoosanow <br />I- <br />