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� <br /> -- - -- - <br /> -- - - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVtRETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERtTf, WA 98201 <br /> A25-257•8810 - FAX 425-257 8857 —www everettwa org <br /> I � _ �u _�4 <br /> I � � vo4��'�`� <br /> � � yob /o8'U ��. S'%_ <br /> PROJECT ADDRESS <br /> � � /� _ ,, _ „ <br /> Own�t4�crJ` _. -_S._I�"� M/a�.��icr ss �L�1 - -- ('��•• �I Lc�._ - Slaie�Z�F – ..---Pnore I <br /> ienant - --- ---fAan�daress - Cty------- ��- � SiaiaLp -- - Pi;one <br /> ' ' �IL� � <br /> Lf�vfiTC�_.'��S�C_._� �"� � <br /> Flechieal Contracloi Ma�i ndnress C�ry Sia:e2�n Pnone I <br /> W� i7Cc C_9 �iG lL/ --- – — �� <br /> Slate License Niimber(reqwred) Cdy ol Cvr,reC Business License Number(ieqwred) i <br /> � �I <br /> �%�---' - --------- - � <br /> Piuposed Use ol Huddu�g CoNract Pnce o1 VJork <br /> Square Foolage(II res�der.Dal new conslruchon, remodet or addition) Conlact PersonlConlact NumbeuCmad <br /> Number ol dewces �11 low voltaye) <br /> ( <br /> Dcstnplwn of Work to Ac Done �_vw���./� J�0 Lt. _. ___ __ .— . — . — <br /> -- --- �---.. ...---- <br /> ' rrr i <br /> CITY OF EYERETT LOCAL SALES TAX CODE IS 3105 GfQ ' <br /> 1 hereAy certrly fhAf I hJve rc�d,,,�d��.��,���r�ra m�.s o�i,n,�,,t�o�,a�,d ti��o�v rn�s:,,���•ro r,�m��•; �q _ —. _ ._-- - .—. _ __ <br /> co�ecf All provisrons oI laws and orA�nances govemmg fhrs typr o/woM wdl he comple(ed – -- � � <br /> whr,lher specdicd Irerem or noL Thc g�anfnrg ol a pcmnf docs nol pmsunm fo grvc oufhonty fo PERMIT# <br /> violate or cancel Bre prov�sions o(any ofha rlNr, c-!ocal L�w mgulafing consfn�cfion oi Ihe ^ <br /> pr,dommnce ol consfruchan. Thaf 1 am aulbonl�1�y Ihe owne�u!Uvs pioperty to peilontr Ibc t I C.f O� ^ D g� <br /> worA lor which appOcalmn�s rnaAe anA I com(,ly w.ill. fhr. Slnfe Cor�tracfors Law 18 27 RCW and -_ --.--_ --- <br /> ?96 200 WAC. <br /> _ _ ��,.._� — —�/�1.-/y — — I <br /> ;�gnatmc � � Daie <br /> rtrv�opr9�2]aN � <br />