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�LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org � <br /> � - ia � `� <br /> � 1u�6�Og� <br /> /07/5� /3�'�-- Av� w. �c-vE/lGTT <br /> PROJECTADDRE55 <br /> .�EN�✓��E TiYilr�rn/ /o�i3� A�� ul .�dC�r: u,�,g��fPao� �a.f 5iia-3sa <br /> Owner MadAddress Ci!y SI� Phone <br /> Tenan� MailAddress City Slate/Zip Phcne <br /> ANPE=/> ����,—,�,L µ /�ccf/ . �o .6o r�'�6P �-dr,�ETi" G�/fl�y�.2o� �as-SZ3 -6s�i <br /> F-.lecirical Conira[lor Mad Address Cily StatelZip Phone <br /> AM,�,E/��H 90 �/� '� - <br /> 9ale Lirense Nurnber CoNract Price of Work <br /> Proposed Use o(Ouilding Contad Person (Plan Review) <br /> Square Foolaye (If residential new construdion, remodel or addilion) ' <br /> Number of devices(If low volta�e) <br /> Desciiplion o(Work to Be Done: _l/✓S%A �t- e��C-v�T S �'9/� �vCT.L PSS _ <br /> - — UN/ TS (/ QL� lJ F}rvo % //�c/J--- <br /> fEF. ------ <br /> CITY OF EVERETT LOCAL SAL[S TAX CO�E IS 9105 JC� � <br /> l.� <br /> 1 he�ehy cerlify Ihat I have read and examined(his applicalion and knovi fhe same fo be 6ue and ___ ____._.__— <br /> r.nnr,cL All provi;inns o/laws and ordinances governing(his(ype o(work will be completeJ - -�-------- <br /> whelhe�specilied he�ein or noL The gian(iny ol a permif dacs nof prc;mne(o givr, aulhority fo PFRMIf/! <br /> violaleorcancelfheprovisiansolanyolherslafeo�localla�v�egulalinycansfiuctionn�lhr. � I� O�_ Llry <br /> pc�lonnancc o/conslmr.fion. Tha(1 arn aulho�irr.d by Ihe ovdncr o/fhis proparty(o pr.�/nrm Ihr. � v U <br /> v✓ork/or which applicalion is madc and I cornply wi(h(I�c S(alr, Con6ac(or.;Lav� 10.27 RCW�vnd - ---- — <br /> 29G.200 WAC. <br /> ------ . .. _ . ..--- � ---- -- --. .._. <br /> ------ 99nature �---�—� Dalc <br />