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ELECTRICAL PER',MIT APPLICATION <br /> CITY OF EVERET i PERMI"f SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —v✓�vw.evereth��a.org <br /> PROJEGTAD ESS�{ >����oD '] LU�7 g� <br /> . <br /> Ovmer MailAddress City Sla!elLp Phane <br /> l.u.���—N.1/!77 p � 5('0 "S tif�*f��ld a.l� ,�'L�-��o_3 <br /> Tenant I.tailAddress CEN� Slate2�p Phon� <br /> , ,��1 1r�� �u i7s�Q �/ S/n�n�� ,P� ����.�//um ,�l-1 �uG `�9D yd5o73/a3�j <br /> EleUriCal ConirdCfOr Atall Address Cdy SIa1e�Z�p Phone <br /> ,noan� y s4y���' 0�7 �� � <br /> Sta1=License�'umber(reqwred) Ciry of Everelt Business License Number(reqwred) <br /> � � �/ <br /> _3�,d� <br /> Proposed Use ol�wlding Contract Price cf'Nork I <br /> �-_a�n��>'I `f,�S.�3f 43FS � <br /> i <br /> Square Footage Q(residential new conslruction, remodel or addition) C �ilact PersonlContact NumbedEma�l <br /> rnaan �1� /a (� �c� �La��'L <br /> Number of devices Qf law eoltage) <br /> Description ol Work to Be Do��e: �1}�� �,�, �.n�L����L[�L�11+?���.i�Ul�w , <br /> I_—..�.. � L/_ ! '/ /^/ � � .JI— / �� <br /> �77P!l1_LG21QG��t�� ��' ��( R �4L�t�L_� 'c� J]IP1�A-- R.r�r�-y - <br /> �`-�' ��` �� <br /> F[E ---- ---- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � d /� vO <br /> OL <br /> I hemby cerfily fhat I havc read and examined(his applicalion and kno�v the same fo be true and <br /> correcf. All provisions ollmvs and ordinances goveming fhis fype ol�vork�vill be complefed <br /> �ti-he(he�speci�ed here.in ornoL The granling ol a permi(does nof p�esume lo give au6iority to PERMIT7J <br /> violate or cancel fhe provisions ol any other slale o�localla�•�regula6ng construclion or fhe r <br /> peAomtance ol consfruction. 7haf I am aufhorized by fhe ownerollhis propertyfo perfomt Ihc C l�D I .— r'� <br /> �vork/or tvl�ich applicalion is madc and I comply�vi�h�he Stafe Con�ractms La�v 18.27 RCW and � <br /> 296.200 WAC. <br /> 7��,[.,C�[�G—��{ �—��c7� <br /> Siqnalure --`-�/ Dale <br /> HEV�SED OP.UE2J11 <br />