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1 I <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.everettwa.org � _ ;Z7-/Z <br /> APPLICA710NS ARE ACCEPTED FFOM 8 AM TO 4 PM �� z D 7 _/aCj <br /> I <br /> ID�O �IP,v�1,u � �r�'�'i F�JQ.Y�" W��_`�� I <br /> IPROJECT AD�RESS <br /> � <br /> In ��n (1 A, I � n v.e�,k wA aR2u� ' <br /> 1 �/n1�X ��'7U1� \�P� �n�� f1VP/ 1� Statrrap hane I <br /> Owner Mail Addross City <br /> � <br /> � <br /> Tenanl Mail Address ��H <br /> Slete2�p Phono <br /> ���r�' �' I'I(�f IA(�Na(�1 �i rr'-.r�K oK �11 �'P�� I,UA Qk`?� ��fas)�Phl�l-I�f <br /> Eleclncal Contreclo� <br /> Mail Address Cdy State2ip <br /> P�d�'�� D-1 bq- �(n0(� l70 <br /> ConVacl Price of Work <br /> State License Number <br /> Contact Person (Plan Review) I <br /> Proposed Use of Buildinq I <br /> � <br /> � Square Footage(If residential new co��^trudion, remodel or addition) <br /> I <br /> i9,I ou , ���r�l�P SS ��u=�n � <br /> Description of Workto Be Done: I <br /> I FEE I <br /> il NOTE: 4ER�N RACEWAYS MC OR AC CAB EUIRED TO <br /> II CITY OF EVGRE'fT LOCAL SALES TAX CODE IS 3105 G`�v,� _ i a � <br /> IcoreectY A�pllmvisions�of la�s and o�nances govemP�g����s rype opl�ork wi��bo comp�etod and <br /> � v olafo Orcancolfhe�perov sions of any otho�r state or loco���v rofl��,�Ing co��strucfion ortheY fo <br /> IpeAomit+nco of cooscirt�con Is rn,d�o and IaconiplyQtltlGiythe Statearonira'cProspLaw 16P 7 RCW and <br /> 2�6.200�v„AC.oPP <br /> � �. � <br /> I �vl/�� � <br /> Dato <br /> � S�gnaNre <br /> � <br /> �—_.�_` <br />