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ELE��ICAL PERMII' �PPLfCATION <br />CITY (`JF EVERETT PEKMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-25�-8857 — �L� u� uJ -e ���ry� �� ����: :% <br />�it.,�; 1'. e�ere-f�fe�S � �Ve�'Lt� Wcz�o�/ gva��l5 <br />�ci sog� 55 <br />�`1D`1 � � <br />; �-� <br />f � <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />t�K1 Po �;•� I `?`I'% <br />Fqail Address <br />G��;:u.,�)J�tw' �:�r''t` <br />Mail Address <br />[�t�t� <br />Cily <br />Clty <br />�-�ba �� � G `J ( <br />SlatclZip <br />SIaIc/Zip <br />Phone <br />'honc <br />I°�l%U.l:1i? �I,[�ill'�-IL Yb iJJ �C `��G/ l�c-t 1�'�v/Jni� �4. ��� �'�. L'J � � c. I" <br />��ZS �ZZ'Zl' L <br />Eleclrical Contractor Mail Address Ciry StaleiZip Phone <br />i� <br />l'� �G�:�e 7 3�`� ��"1 u2,� i;i y <br />State License Number (required) City af Everett Bwiness �icense Number (required) <br />I� F Il ��fi? i.t,� <br />Proposed Use o( Building <br />Square Footage (If residential new construction, remodel or addition) <br />�� <br />Number ot devices (d lovi vollage) <br />Description of Work to Bc Donc: ��C�SM�I-1L/ I- <br />� <br />Contract Price of Work <br />I a C".�L�.4.�Z��J i SE"IxoOaw:L+2 �v,.l��Nv.,6 <br />Contac( Person/Contact NumbedEmail <br />� S�9ViN�_ j��- <br />�tre'Tl{ _Fn,�S � i4�:�;,� Fi:,��)5 G 2c� � i"S <br />CITY OF EVERETT LOCAL SALES TAX COD� IS 3105 <br />�l(..i�'Ll�'7�''' �- �i�lI7�C. <br />l hereby ce�ily fha! I have iead 'and examined Ihis appllcafion and kno�•� fhe same to be frue and <br />coirecL All p/ovisions ot laws and ordinances yoveming �his type ol work wdl br. completed <br />�vhether;pecilied hemin or noL Thc granfiny o( a permi( does nof presumc fo glvo authority (o <br />vlolafe orcancel the provisions o/ any olher sla7e orlocallaw iegu/a(/ng consfrucffon w fhe <br />performance o/consWction. Tha( l arn au(horizeU Gy fhe nwner ollhis property to pnAomt (hr <br />�vo�k /or which applicaHon is made and I comply �vi(h fhe Sfafe Conlractors Lu�v 78.77 RCW and <br />296.200 WAC. <br />,�«-�_E�,o3���.�„� --- ---�"-c�_ _rb L (-1f1--- .. <br />FEF <br />� 5n, �O <br />PERMITat I <br />EI�'155 <br />