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11/1di2019 1J:J0 FdS �125�SJ89JJ E�•erFreen Secm•lty <br />• <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425•257-8857 — www.evereltwa.org <br />l l 1 D 1�1,Lt.11 i-C�' �kv-�. —�owW1 �u�� <br />PROJEC7ADDRESS <br />� oo� <br />�/5 0� �nvhorvush C�uun�� p� r�sc. ��--ve.4-e.�(- q.BZ�I <br />ONnef Mall Addmss Ciry Slate2ip P�ono <br />V� lJ-� <br />Tenanl <br />Electrical C�o% � <br />�dad Atltlress <br />�aan <br />L.�/�--`R.C�s.s l l �-t�a. <br />Stale License Numbet <br />{1� �`�.�Li' -'CJ-S.Q� <br />Praposed Use of Building <br />Square Footage (H residential new construction, remodel or aCdtllon) <br />Number of d� ic�(I( !ow voltage) <br />Description of Wotk to Be Done: <br />CITY OF EVERETT LOCAL SALES TNC CODE IS 3705 <br />cny <br />City <br />�` <br />si���s• 3�g-/3;$S�ne <br />QNLI�� W� "l� <br />Slatc2ip Pnone <br />� `�77 C.v , lp �' <br />f.oNraC Pnceof Work <br />�� Iv�l.l�� <br />Contacl Porson (Plan Revlew) <br />I hornDy certdy (hof I hove r�nd ond exnminetl lhis npplicafion ynd know fha samo fo be frue nnd <br />tortect All provisions of l�ws and oNinances goveming this type o/work wil! be completed <br />whalhe� spodfiod horoin ornof. The pranHng o/ n pert»il does not pmsume �o grve ;�ufhonty tu <br />vlolate or wneel lhe provisions ol any orher stafe or �ocal raw regWating �onsWction or fho <br />peAormnnce o/ conshuc(ion. That I am aufAonzod by fhe o�vnoro/ fh�s property fo peAomi fhe <br />work IOr �vbich applicafion is made and 1 tompty �vith tha Stare Conhacrors Law tp,27 RGW and <br />A�l';��J!..^.lYJ <br />FEE <br />� �-� - <br />P[RMfT# <br />� �31 - 08 <br />�� <br />