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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 C[DAR STR[ET, EVERETT VVA 98201 <br />425 757�8810 - FAX 425-257-885% - www everettwa org <br />y �b " �d_S �� �� S� <br />PROJECTADDkESS <br />�ZS z90 .Ss���' <br />R <br />� <br />��� r ✓c,..ti.� l i � - �o sr � � l s�_ E���d -"'/ -- - g8'�-�-f--- <br />_-:m r �—�� � Ma�l Address -�— -� Gty Staie2 D Pho�e <br />___ ._..—__. . _. _ __ . _ . _' _- __. <br />l enent � � Ma�� Aodress C�ty .`.�ate.7ip � Pnore <br />f� 5 <br />� rS5 Sjf. � <br />, I�ScJ L�le��.c �// 73 S�s£ �rte,.-c-Il' �,u�_ �8"l�s_ , <br />I-Jedr�cal ConlraUor IAad rlCdre55 Cdy S�i1��7,p Pnone <br />1. >S�Tz � � �_� �� <br />5'ale Lic^nse Number frequveA) <br />/71�,i.�_ y�_. <br />�'�nuosed Use ol HuilAing <br />Squa�e Foulage (II residenhal new consUi,cLon, remodel or pddd�on) <br />�:umhcr ol dc��mes (II low volla9cl <br />1����� - <br />C�ty M Evcrett R�s nrss I it�rse Numb?r (reqmred) <br />-- �7 � — <br />COn�iacl Pnce nf Vlo•k <br />� � SG- SSB� __ <br />Cont cl Person/Contacl NumuerlFina�J <br />Desu�ption of Work to He Done C7u�[�-�i-� _�! � �:S .�� -. d �'"'"t"e", `-"'. �t_'�iv-( --.._ <br />FF.E o6 <br />CI1Y Of EVEREiT LOCAL SALES TAX CODE IS 1105 !/7 � <br />./ <br />I hnreAy cer'rly (haf I havv mad and exarnmr.d fhis app6cahon and Ano�v Ihe sarne fo hr fn�e +ind _ <br />�:un?ct 1111 piovisinns o; Idws and ordmnncrs goveming Ihis fyPe n( ivo�r wdl Ae complPled -- — --. .. .-- <br />�.t�hether specrled hc�vin ar nol The 9�enlmg ola pemnl does nof presume ro g�ve nulhun�y rn P[Rh1I�lN <br />violBfe o� cenCBllhC p�Ovrs�OnS OI Bny ofhe� sfale' or local law regulahng const�vcGon o� fhr. ^',(��_ I� p <br />perlormence olconsfn�r.hcn �haf I am aulhonzed by fhe owner o! flus pmperty fo peAonn fhe t u � <br />worL /or which apphcnGon is made nnd I comply wdh Ihe Sfate Confrncfors Lew 18 27 FC W and __ _ . . <br />296 200 WAC <br />� , <br />�:i -�c.�^- _ f' 2f7.�`_�l�L-- . i ' -J!�!G <br />.-_� � <br />.;pralie � .___ __– D11e <br />�---- --- _. <br />r.i... ...� -.�� <br />Ii <br />—� ' <br />