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Dec?314p1 �Ap <br />� _. __—__'___ . <br />I <br />Biachb_un Prcpo�tic;tlC <br />360�nE-E760 p 1 <br />ELECTRICAL. PERMIT APPLIC�#TtiON <br />CITY OF EV�RETT PERMIT SERVICES <br />32�0 CEDAR STREET, EVERETT, V�,�A 98201 <br />425-25i-8810 - FAX4'�5-257-88�—v.�ww.everettaa.org <br />��� �I �>>��' i <br />PROJEC7 ADDRESS <br />��i,�L� <br />OwneJ <br />� <br />Tenanl <br />� �� <br />�ear�cal Contract r <br />VE�'e� <br />� �� �� <br />Ma�i Adtlress <br />�llail Mdress <br />Ma�l P,tlU�ess <br />�a - � `_.1v� � <br />L�i_: ��� f� �' G(— Ni,�) � l—a'; ��a <br />c,y si„a,�o <br />Stalc License Numbc (requiredi <br />� '�5 \l`�Ii�C–� � � flL_� <br />PrCposed U5e o`, [3uilding <br />�'� «�LC������ �;� : !_c�T <br />Square Footage QI res�dential new constru lion, remodel or aC on) <br />Numbe� ol tlev�ces pf low vo!tage) <br />Descnp�ion oi Y�ork to Oc Done. <br />�� <br />Ciry <br />s:�taz;p <br />Stato/Zip <br />Phan� <br />ahone <br />Phane <br />City of Everen E3usiness License Number (requircd) <br />�lc��• Cc4�� : `'b�-�`-�� <br />Contract Priceof Wark <br />C�1� � � �� <br />v 1 C<_ ���rrv <br />Contatl Pers JC--�onlac', Num�ber/email <br />C�� ! ,nJ'`A�I.� � �'' �—CYY1CCl� , YjC <br />� J <br />l�`:� 2�7-1�.1 -(�„� 1� G�Y \��, • � <br />CITY OF EVERETi LOCAL SALES TAX CODE IS 3705 <br />r t�oreny co�ti�y v�at � navu read antl exarnmed fhis appLcalion ��nd Winw �he snmr. to be we and <br />correct All provisions o/ la�vs antl oNmances goveming fhis rype of work will 6e complefed <br />�vhethrr specrled hrrcin or noL Tre �ranlinr� ol a pom�if doo : nnl ptisumo fo givo uuthonty to <br />vioinle or r.ancel the pravi:;ions o( any other slute or iocal la�v rogulaUng cansWd�on or ICe <br />pedomiancr. ol consLucfion. T7taf 1 am .�uthonzcd by (ho own�r o/ fhis Proporty fo poAorm !!m <br />u+ork /or which applicnl�on is mutle or�d 1 r,omnly �,.dh Ihc Stafc Conlr�cfors Law 7y'l.7 RCW and <br />796.2(301M1i]C _ . „ <br />� <br />UL-��� /�_ �'C� <br />C� -- _�_1`�C,�� L.CC�,c� � <br />r.�i:Ent.^_i.v�i� �i_��_ 'J,� r� �� � <br />PERM ITN. <br />E I�Iz 15%--- <br />