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� <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 — wv�wv.everettwa.org <br />IIIv I\atnu�r /�v-� <br />PROJECT ADDRESS <br />W S Sino�c.��4 co.���i �lfo �r,'n�c.�-� �i.erP.t-� C..�✓i <br />Owner htail AdCress Gry SWtelZip Pnone <br />Tenanl <br />h1a�i qdtlress <br />Gly <br />State/Zip <br />Phcne <br />I f�1 (.-�,'r� E(eeWe �o3'+sv��u�gto.��isr S�af�. l._'�,�i C!'81Z6 1�7i1 G <br />i <br />� Electrical Conlractor 1.7ad Adtlress Crty Sla: �C p Phone <br />I �%IIWk(,.�c4s[G� <br />�I State Ucense Number <br />�� loui�k �-tnF-'-f <br />, proposed Use ol �uilding <br />I <br />I Sauare Foo�age pf residenUal new construciion, remodel or addition) <br />Num6er of devices (If low voltage) <br />�,�2 <br />Contnct Fnce ol Work <br />]CN �NPEN <br />Coctacl Person (Plan Review) <br />Description ol Work to �e Done: ISGvl�4o.9qt1'w. � <' �'Ut�hd S`r��Y."t✓��- �( o-. ��S lo— <br />'t�u G �oJ �^ C�v�11-rr / <br />CITY OF EVERETT LOCAL SALES TAJ( CODE IS 3105 <br />1 hemb�• ceqdy (hat 1 have read and examrned fhis apphca(ion and kno�v tbe same !o be true and <br />cortetf. Aq pravisions o! laws and adinances goveming Uus (ype o/ �vodc �vill be completed <br />whefhci specrfied herein or nof. The gnnting o/ a pennif does nof presume (o give aulhonty fo <br />violafe or cancef the provisions ol any ofhe� sfate or local la�v regulahng consfruc(ion or Ihe <br />peAormance of conslrucGon. That I am authonzed by the owner o! lhis propeRy fo perlorm the <br />v.ork lor whrch a 6cation �s made and I compty with the Sfafe ConVactors Law 18 27 RCW and <br />?96 200 W <br />/�'���,�%( � ���s �% � <br />� r,���seo�^n�u <br />FEE <br />aa�.go <br />PERMIT# <br />E ►3l I� o�.��, <br />