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--- ----------• — �------�i <br /> ELECTRICAL PERMIT APPLICA 'i ION <br /> ; CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, [VER6TT, VJA 98201 <br /> I425-257-8810 - F�X 425-257-8857 - v�n^nv everetlwa org I <br /> I ) 0500 � <br /> � �� � <br /> , /G�S[2�}d l"t//'/l/Lcr n/ t�A/ L-�/l n� T �.A i <br /> PROJECT ADDRESS � <br /> i <br /> I (�'�,�[.iC rvilSA ✓ �(6SGf� C"✓l�t[,�tY�✓ u�y f--r/� t_./J- y.7f-�/7-57ln3 � <br /> �I Uv;nBr I.ta.l Atldress Cdy Slale2ip Pllone <br /> I �l/Ictq f G N f SSa�� <br /> , I�n� hiJdltltlte55 Cdy S']Ie1Zip Pnpne <br /> i ?t3�5{3� I <br /> irzE—svsrt:�s c,�sr- ?f�l� (�lu.�rqC� 2Y7 - s,,,�r ni '�PCir,c. t..� 9f(✓v� izyr� <br /> � E!edr�cal Centractor r.ia�i�adres; Cny iare2�p P�one I <br /> � i <br /> ��R -rs�.✓� s�Sf�c,/ �-�f�2Zq � q ' <br /> � S�atF L�cerse Number(reqwretl) Cny o([verett Bus�ness l�cense Number(req��retl) I <br /> � �� ��A� ('2 Sff //� ���� <br /> ��. Froposetl Use of Bui!dmg Contract Pnce of Wo�k I <br /> �'� 2s3 � srr - G��s� � <br /> '� Square Footage(If res�dent�al nev+construction, remotlel or adddion) Conlact PersonlConlact NumbenEmail <br /> i <br /> INumber of de��ces(If low voltaoe) <br /> I, DescripUon of Work lo Be Done s�✓AP ov�T ��2(— �CfF2 n '7RN�- <br /> i _ i <br /> , , <br /> I — <br /> FtE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I �� �O <br /> � `� <br /> !IroreUy cerhly tha71 have�ead and ex3mined lhis dpPI�c7Gon dnd knotv Ihe 5drne fe be true and <br /> corrocf All prowsions ol ia�vs and ord�nances governing Uus(ype o!��rork �e�d!be r.omp�eted <br /> �rhefher spec�4eU herom or not 7he gianlmg o�a permrt does not presume to give author�ty to PERh11TY. <br /> violate or cancel the piowsions ol any othe�sla�e o�local law iegu�aGng conshuc6on or the E I 50�-} -15� <br /> pe�formance ol conshuctrOn Thaf�am aufhonzed Dy fhe o�vner o/fnis property lo pertonn the <br /> �;ork lor which app��ca � r is made and I compty vn(h fne State Confraclors La�v 78 27 RCW antl <br /> j 296 ZOC Yl' <br /> I /f����� <br /> 5�g�) we D�e <br /> / <br /> 4L Vr51;U OdD6?Ot� <br />