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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.c�� <br />/Z6/o /�� D/' .�/_ <br />PROJECT ADDRESS <br />1'�ey�' d u L c�a .,�5.—/'r�; � o... O 9e,1� �� s�✓� e�.% rWe c�,>�-�'��i %,�Z ��/ <br />Owner MaiiAddress Cdy StatelZip yj�`-?31 Phone <br />- zy�9 <br />Tenant <br />Electr,cal Coniracror <br />��. S i �� 9 7! lU <br />State License Number <br />Mail Address <br />h4ad Address <br />N� I'�o,�. L Co,-. s� ���r, o.,. <br />Proposed Use of Building <br />Ciry Slate!Zip Phone <br />Z 97� s'' .�� m Q,/y5 ✓,'� cc r.�A. 9� z 7 d- <br />7� % G^ <br />Square Foolage p( residential new conslruclion, remodel or addition) <br />Number of devices (It low voltage) <br />City <br />StatelZip ,3�j� - (j S / P �P� D <br />b' J <br />m� <br />`'�'�D� • <br />Conlracl Price of Work <br />Contact Person (Plan Review) <br />Descrip�ion of Work to Be Done�. !.°/ t-� � � f ra�l �11�� � t.2_1��"" �—+ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby ceriily fhat 1 have read and examined fhis application and kno�v Ihe same (o he fnie and <br />conecf. All piavisions ollaws and ordinances goveming fhis type o! �.vork will be comple(ed <br />�vhetherspecified herein ornoL The granling ol a pemiif does nof presume to give authonty to <br />violate or cancel (he provisions ol a�ry olher sfale orfocal law regulafing consfruction or the <br />pedcmiance o/ consWcfion. Thaf 1 am authonzed by fhe owner ol this property to pedomr Ihe <br />work /or �vhich application is made and I comply wilh fhe State Confracfors Law 18.2? RCW and <br />29&700 WAC. <br />;+ey�«�, 1,:c i � <br />fEE <br />9v � <br />PERMIT" <br />E i�oa-n3� <br />