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� - — '; <br /> - � _ <br /> EL��TRIC�4L PERMiT �4.PP�IC��ION . - <br /> ; <br /> �IT1P' O� EVEt�ETT E�ERi�iIT :S��iiiC�S <br /> ` 3200 C�DAR STREET,`EVE'RETT, UVA 98201 <br /> 425-257-8810 = FAX 425 257-8857-www.everettwa.org <br /> . : <br /> 3003 vU Cc�.s(h� <br /> :►� e,.� �v�e_�--�- <br /> PROJECT'ADD SS : <br /> D�.,l <br /> Owner Mail Address City State/Zip" Phone <br /> . N� ' <br /> :: l�_.;�k � 6� . � K5-36a �t���at <br /> Teriant Mail Address ', Ciry : StatelZip` ` Phone, <br /> � ( : <br /> � /' • O u G-�„ �l.eC�.!"l L <br /> ElectriCal Contfacto . . Mail Adtlress City State/Zip Phone <br /> �S� ! �� <br /> Stafe License Number Contract P ce of Work <br /> . Proposed s , of Building Qontact Peeson (Plan Review) <br /> Square Footage(If residential new construetion, remodel or addition) <br /> Number of deVices(If low voltage) <br /> Descriptiori of Work ta Be Done: �✓�S���t ��� '� ���G ��" �` ���" r��-��-�' <br />" , <br /> FEE <br /> CITY OF EVERETT LOCAL SALE5 TAX CODE IS 3105 �� � `�r <br /> � <br /> l hereby certify fhatl have read and examined this applicafion and know the same fo be true and <br /> correct. A/f provislons of laws and ordinances goveming this type of work will be completed ' ' <br /> whefherspecified herein ornof. The granting ofa permif does not presume fo-give aufhorify fo PERMIT# <br /> violate or cancel fhe provisions of any_other sfate orlocal law regulafing consfcuction or fhe ` <br /> performance of construcfion.-That l am aufhorized 6y the owner of this property to pecform the E i �-�-�7 --I� � <br /> work for which application ls made and 1 comply with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC, ` <br /> �-'1� �/t''�/ � _ <br /> i,� ;. 9�fe ; <br />