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r <br />ELECTRICAL PERIVIIT APPLICATION <br />CITY OF EVERETT PEFZMIT SERVICES S_13 �3 <br />3200 CEDAR STREET, EVERETT, WA 98201 s a 6`i <br />425-257-8810 - FAX 425-257-6857 — www everettwa.org C.� � 30 <br />i � �/::'d< <,r_ <br />PROJEC7 ADDRESS <br />� ±� J � �? �� ;' ��� ir� fK � C.. r��.e �- �.�t� % kz� � <br />Ownef Mail Acklress City SlatclZip Phone <br />. '/� V ✓ v f % / � /�, r��t SC ��/�L/ � L�.�/F / 3 /�'�d <br />Ten3nt Mad Address City SIaIMZip Phone <br />c <br />�l[ o,c� S� 5 i �, 5 yac`� i 39f� Pc s � qi, « c.1c�-IK �ci.y � <br />Elecincal Con�rador Mad Add�ess Ciry Stale2ip Phone <br />�/L^/>��S , n (uC� �' /` <br />State License Number <br />Proposed Use ol Bwld�ng <br />Square Footage (If residential new consWcUon, remodel or addilion) <br />Number of devices (If low voltage) <br />,/ •' '/,/ r <br />Descnphon ol Work to E3e Done ��(T /'t N N� L' L C/T� 'C <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />- n -' <br />r. <br />Contract Pnce o1 Work <br />Contact Person (Plan Review) <br />1 he�rhy cr.rtrly fhaf I have mad and exanmred fhis app6cabon nnd knnw fhe same fo be hue and <br />coiacl All pmwsrons o/ laws and ordrnances yuvernurt� fhrs tyPe ol wo�k will be cooiplofed <br />whefhcr s�xrcifial hermn or nol The yranfirr� o/n penn:t d��s nof p�esunk fo grvr aulhunty fo <br />violnfr, nr r.nnr.el fhr pmvisinns nl nny ofher slnfe nr Incnl law m�idafmp consfn�r.frnn nr fhe <br />pednm�anr.r, ol conslmclinn. Tlrel 1 am aufhonzeAby Ihe uwner of Ihis propr,dy fo pedomi Ihe <br />work Ior whir.h npphcetron is made nnd 1 cornpty wdh Ure Sfafe Contrnctors Lnw 18 27 RCW and <br />296 200 WAC <br />, _.1'� %I-- — b� `J—� � � <br />----�� n:,iP <br />nr aun vm�+� <br />FEE <br />c-,�� (�C� <br />� PERMIT# <br />E I 7�(,�j .. Ci�- � <br />