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ELECTRICAL PERIIAIT APPLI�ATlON � <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EV[RE7T, WA :d20' <br /> 425-257-8870 - FAX 425-257-6857—www.everettwa.org <br /> � 0 � 2 � 1 _� �-v-esE <br /> PROJECT ADDRESS <br /> L e �� ��►Ur 12 ��� C��yo����f�,-�� � py�,�'�`�3 <br /> Ownef Mail Addmss Clry State2ip Phone <br /> Tenant Mail Address CIN SWte2ip Phono <br /> �f'f�Gt f l UVI �l�C�"CG �4�<�rhhelll'ff �7'��n<��w l�//9-1�2�- <br /> ElOctriCal ContfactOf Mnil Address Ciry SIatU2�p Phone <br /> re ci �P l�yL y � �d a`� <br /> . ate License Number Contract PriCe ot Work <br /> AIOV✓cl�ihqlP �-��nrly C'��1✓/}'IICI`�'�l•c-- 7`�ro�-► <br /> P—{oposerl Use o( uilding ContaCt erson (Plan Revicw) <br /> � 22U <br /> Squara Footage(If residential ne�v construcUon, remodel or additlon) <br /> � <br /> Number oi devicas pf low voltagc) <br /> Description of Work m Be Dono: �O�/' v'� �l �N / L'f�`t ��fs � � `0��� <br /> FEE <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS 3905 < ' ' <br /> ��.'. � �. <br /> !l�oreby cetli/y that!hava reod onU examMed this spplication and know the same ro be true and <br /> correct. All p�ovisrons ot laws and ordinances goveming this typo o/work will be completed � <br /> whether specifieA hereii7 orno[ The granting of a pu�mit does not presume(o givo aathodry(o PERMIT# <br /> violate or cancef tha provrsrons o/nny otherstate orlocal law mgulating construction or tho / ,- - <br /> perlormance of construch'on. That 7 am aulhonzod by the owner o�this proporty(o perform the E � ''?C tc` � > > <br /> work(or whicb applia37ion!s ade nnd 1 comply with tne Stafe Confrnctors Law 1817 RCW and <br />! 296.2 AC. <br /> f°/2� 3 <br /> Sipnntum. C�ate <br /> � <br /> r.F'.c:o.,l:at9 <br />