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0 <br />u <br />N <br />� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CFDAR STREET, C-VER[TT, WA 98201 <br />425-257-8810 - FAX A25-25 �-8857 - www everettwa org <br />�0 2� 1z2 -���� �� �� - <br />PROJECT ADDRESS <br />.���a_ l� a ea�'ti, zv z� / z7i� S L:� _�_ u�;�<<'f-- 4JA .`�d'ZD� _ <br />�me�� 1dadAd�ress City Statc2p P�onc <br />_...--__._— ___________— .._______.._.____ <br />Tenanl 1.taJAtlmess C�ly Siale�Z�p Pnone . <br />�a.t�- Yzs ; <br />Q_�{- Q•N'4'r1 n_�_ �V,C�t Sl 3lai �'-_S��v�-t�r�� ��PZO�F. -�z7 ZGoy <br />I1 � �----_ _. <br />[Icct :al�Co�Hractor \J I.taiAa�rezs C�ly r Slale!2�p Phone �� <br />I <br />/�cr'r�ac yc,zi.c <br />, 5!ate L�CCnSe Number <br />������ �� <br />I'�oposed Usc ol Bud�ing <br />Squaie Footage pf residenUal new conslruclion, remodel or atlddion) <br />Number ol devices (Il lo�v voilage) <br />Descnphon ol Work to 13e Done _ ��T 4. CL� _ Z 0 d f� _� <br />CITY OF EVfRETT LOCAL SALES TAX CODE IS J105 <br />-Z, o� 3 v n __. I, <br />CoNract Pnce o1 Woik � <br />�rt�i:,via-�-✓ V.,Ci�t�rcaJ�� �, <br />Contact Person (Pian Review) i <br />I I,erebp cwi�ly fhd! I hAve read anAerannnedlhis apphcnfron and Mnuvi fhc sam�� fo hc puc dnd <br />correr.l All prov�sions ol laws anAortimances 9oveming Ilus q-pe n/ n�ork �rdl Ae complpfr,d <br />nhelher spec�fied heiein o� rro( The ��anGng ol a pernuf does nof presurne fo 9�ve aufhonty fo <br />��u��+te or c��ntM fhe p�o✓rs�ons o( any ofhe� slafe ur local law royul;�6ry consf�ud�on or Ihe <br />pr�fonnancc o/consfruchon Ihal I nnt au7hOn2eJ by fhC ou�nC� o/ fln5 prppchy to perlumi fhp <br />rmrk lo� �t�hrch ��oppcahon a nrade and I comply K�,Ih Ihc Sfnfc Cnnfraclors I aw I8 T7 RCN' and <br />796 200 N'AC <br />� <br />i��� �� �t. / z � / 3 <br />- - - ----- --- <br />, ,,,��,�� � _— ��� - <br />,.�, , ,_:,,� <br />FE[ -- - ----I I <br />75 �`-' i <br />_ i I <br />P�Rr•�rra ----� � <br />E I 31 Z- v0� <br />i <br />