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CEC-I:ul-2C1'.3 1��:`J �_ECTR!-CITY 425 672 6?55 �'.U1��1 <br />� <br />ELECTRICAL PERMIT APPL'ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-88'0 - FAX425-257-8857—wvnv.everetlwa.org <br />90�� Ed��- r�y e�y 98� <br />V <br />PROJECT ADDRESS <br />O�vnc� <br />�.+a�i tiatlross <br />Ciry <br />State2ip Phone <br />Pctb/�C �ra�� <br />Teranl Malhdtlress C�iy S�atN2ip ancnc <br />EloCncal <br />f�'TT � //Dfj%} <br />State License Number <br />S�ra�ie G��i �s <br />proposed Use o( Bwiding <br />'9/,Z �dP�'/uXb�,� <br />r.!a�i tiaaress <br />SQuare Footage (If res�denlial new construction, remodCl or a�dition) <br />a� <br />Number of devices (II Iow voliago) <br />Cily <br />$lalelLip Phon. <br />�o?S-�7�-G79% <br />� //� Dod , p� <br />Con(ract P�ce of Work <br />Coriact?erson (Pian Revie�) <br />Oescription Of WOrk lo Be DOne �5���� 5fie� lfh Se�u�-�7� ��S�M <br />CITY OF EVERE7T LOCAL SALES TAX CODE IS �105 <br />1 herBby CeRily (hat I lrnve read and erammrd fhis applicatiun nnd knmv IhC sarno to be huc ond <br />correct. All prowsrons o1laws ond oNinantes goveming this lypo ol watc wilf be completed <br />wnether specified berein or nof The gran(ing o! a permif does not presume !o grve aufhority fo <br />violate orcanccl the prov�sions o�any other sta(e or locai �aw regulatin� consfru���on or 0�e <br />perlormance ol const�uction. Thaf I am aufnonzed by the owner o� fhrs property fo podorm the <br />vrork /or which apphcaGon �s ����do nnd 1 comply wdh the Sfafe Con(rocfors Ls�v 78.27 RC6V and <br />296.200 WAC <br />i a/�//.3 <br />F��.sro v:,v�� <br />F[[ <br />�O� <br />PERMiTz <br />E 131 Z-oz2 <br />TOTRL P.iil <br />