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• • <br /> �_. �� �w__._ ..�..aa_.. _�_. <br /> _._._�....e�___ _ __..__.�___._ .__�.._�� <br /> I <br /> � <br /> ELECTRICAL PERMIT APPL�ICAT1@I� ! <br /> , <br /> ' CITY O� EVERETT PERMIT SERVICES ; <br /> 320t� CEOAR STREET, EVERETT, WA 98201 � <br /> 425-257-88�Q - FAX 425-257-8857-www.everettwa.org <br /> r <br /> E <br /> � � � o� �' C, �-t�-�#- YW -�" '�J-� U ►'����-- � <br /> � PR4JEGT ADDRESS <br /> i <br /> C.. t.�-� ""��'1-C -G1''" ,� . t� . <br /> dwner laii Address C:ity State/'Lip F'hone <br /> ; <br /> � Tettant Mail Address City StatelZip Phpne <br /> E <br /> �l truvvts�-+-t L�A..--�Yt� '� ta a 1 5 I'�`�-�'` }�l_ .�eA-.��.-t t.1tX3... �' '{31 tv$ .�otv .�}� E3 �D b <br /> EleCttiCa[ConEraCtor Mail Address City 5takslZip Pt�on� <br /> '� \ � lo`o� � �e� �o�� d <br /> __ - --- <br /> S(�t�Lir.�ns�Number(required} City of Everett Business l.icense Numtaer(required} <br /> ' � �� �3b� i <br /> Proposed Use of Building Contract Price of Work <br /> I <br /> __. _ __._ _.. .............�_._.__.�✓ <br /> Square Footage(if resicieritial new construction, remodel or addition} Contact Person/Contact Number/Emaii <br /> Number of devices(3f low vpltage) <br /> �escripiion of Work to Be done: -( .�''Y { t G.- t �.� !'� (. V � � �� <br /> � �.,.. ..f�� -�-- <br /> I <br /> FEE � <br /> ; CtTY OF EVERETT LOCAL SALES TAX CQDE IS 3105 � �� <br /> � !h�r�by c�rfzfy thaC!h�ve r��d artc��x�mir�ed thrs applicaUc�n and kno�v the�same to bs true and � � � <br /> carrect. A!t prnvis?ons of laws and ardinances gnvernirig this type cri work ti�viii de compfefed — ; <br /> wtrefher specifred herein or r�c�t. The grant+ng o(a permit does not presume to give authonty to PERMIT# <br /> vioi�te or car�c�i the provr'sic�ras o{any other state ar Ioca1 faw regulating oonsfruciion or the i <br /> performance�/consiructinn. That l am autnorized by the awnPr oi this properfy to perfarm fhe E I `71 � .- 7 i1� ( <br /> wark for whrch application is made and 1 compty with the Sfate Cantractors Law 18.27 RCW and � 1��� <br /> 9 .200 WAC. ' <br /> € <br /> � ��� � ' <br /> Signatt,re � pate j <br /> � <br /> � rcEt�ISEL''0&T)f•/2C1Yr, I <br /> t ._r.._.�._� ._ ___..____m__._...�._ .-........_.,,,... <br />