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� <br />� <br />ELECTRICAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STR[ET, EVERFTT WA 98201 <br />425-257-8810 FAX 425-257-8857 - ��nw+ everettwa org <br />��2s �yz" sr ,SW �vE�E�; <br />PROJECTADORESS <br />Uv,�,cr --- -- -- -- r.t,,r ;,aves; - — — �; t, — — <br />i <br />-- — — — -- — � <br />S;a�e.l.D Pho�c � <br />Terari � I,�a��, n��...;.s,--�� — -- � / ---- SiateiLp _..__ .— ��, ,.o <br />l.u��� k�lc� 2�� 1�i1� /3Y��c� NE+�Ua�i��—_ —_ 93U>��- — 1DGfJ8y9�� <br />E�ec!ncal Con�iaclor f.1a�l Atldiess C I� Statal o P^ore <br />�u�i,��ry �y2 JS <br />S!ate L¢ense M1urnber <br />S F � <br />I �'roposed Usc ol9udtliny <br />Conlracl Pnre o1 V�brk <br />Contac Person (Pian Rca�ew) <br />I Squaie Footage (il �esidenlial new construclion, remodel or adtlihon� <br />� Ni�r�ber of dewces lll low voitaqe) <br />I Desr.npt:on of Work 10 Re Uone ���i h-� lN�i ,4 �'i t I� I� (3 9 5 L ---. _. <br />I FlL ----- — — � <br />��y � � � Q� � <br />i CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />II hemby rc�fdy lhaf 1 huvc mad and c.�ammed fhis opplrca(ion and Mno�v Ihr, sarne fo bc hue ,�nd ,--- --_ --_ — _ _ I <br />conecl AO provis�ons o/ la�vs and ad�nances govemrny flris fype o! •�5or1c rnll hr. rompfrfeJ �� <br />�vhelher specihcd Irciem or nof 1 he yranhny ol a peimd docs nut pmsurne lo grve aufhonty fo I PFR�•1ITt7 , <br />violale o� cancei tlre prov�srons ol any otlrer stafe o� � cal law myulahnq const�ucGon or flre �� I�>^ �— I�`� I <br />peAomrante o/conshuchon rh�f I am airthonzed A Ihe o�vne� ol thrs properiy fo pe�lorm (hr � �, . <br />�vorH lor wluch apP6cabon �s r.Hie and ! conrply �vAlr thc Sfalc ConNactors ! a�v 19 77 HC:h' anif _. __--.— —_ .._ <br />296 200 WAC <br />,/ <br />� ; ��i �--- -- ����� 13 <br />I� � ��S�nalwe ---- Da e -�----- -- <br />nf V�_'i O L:U�II <br />