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� � <br /> ELECTRII�p►L P�F�IVIIT APPLICA�'IOf� <br /> CITY OF EVERETT f'ER.MfT SERVdCES <br /> 3200 CEDAR STREET, �VERETT, WN 98201 <br /> 425-257-£1810 - FAX 425-257-8857 — www.everettwa.org <br /> 3 _� i �t�l <br /> � l �103-'pN I <br /> -�� / 7 /�r� ��2 = �<�r'��l�.� / ii��.�,z l.r�r�,�,t) <br /> PROJECT ADDRESS <br /> Owner �vlailAddress City Slate/Zip Phoce <br /> �7f.'rt ljlf>!�t T��� — <br /> Tenant Ma�lAddress Cily Slate/Zip Phone <br /> ���r�i�/�o�/ C�«s�kc�'�� �r:: l.t6li 1'➢���/L s�.�� �il� lI',�z �'�i3..� <br /> EleclricafContraC�or Ma�lAddress Gty Slate/Zip Phone <br /> (�itv�iU�T 9/�7/ ¢ <br /> Slate License Number Contracl Price o(Work <br /> Propose�of�uilding CoNact Person (Plan Revievd) <br /> Square Foolage (I(residential ne�v construction, remodel or addition) <br /> Number o(devices (II lov�voltage) <br /> Descriplion of Work In [3v Donc' ��G� P Lr/ _ v�t /�$(0 ��i- �"����/�U — — <br /> _�.7��� �Psk . --- <br /> FEF <br /> CITY OF FVERETT LOCAL SALES TAX CO�E,IS 3105 �� OO <br /> 1 hCreby rprtily fhal I havC read and examined Ihis applica6on and kno�v Ihc same lo be Irue and . li <br /> r,oirr.cL All pravisions ollaws and ortlinances govr.miny Ihis type olwork will6e comple(r.d <br /> v�helhr.r specilicd hr,icin ornoL The g�anhng o!a permi(docs nof presume 10 qivc au(honry fo p[RMITJ! <br /> v�olale or canr.r.l lhr, p�ovisions ol�ny ofher sta(e nrlocal law in,yulaling consbur,fiorr or Ihe r O _O� � <br /> pe�formance ol r.ons(ruclion. Thaf I am aufhonred by Ihe owner ollhrs property(o perlorm(he C I �� 3 <br /> �.vork lor�vhich applicafion is madr, and I cornply�vifh thc Slafe Confracfors Lav� I8.27 RGW nnd _ ______ __ ___ <br /> z�s zoo wnc <br /> � � /- i�`c—_� f��/,_.----- J L//�� --- <br /> — Si��� --- --_-�- Dalc �— <br /> � ecv�sion:oin <br />