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� <br />ELECTRiCAL PERMlT APPL�C,�ilO�� <br />C1TY O� �V�RETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVER�TT, WA 98201 � <br />�25-257-8810 - FAX 425-257-8857 -� www.everettwa.org <br />APpl.ICATIONS AR� ACC�P'T�p FROM 8 AM TO 4 PM <br />� �Z � ����--�--�- ,�1 v�2. <br />AROJ�CT ADDRESS <br />�j �. '�5 3 �Z�. �Z.C�z-LL�.`�z. ,�/�- �1/c '�.`TTa �'� � � �� t ° <br />Owner Maf1 Addr�ss C[tY Siate2ip Phone <br />� �l� <br />Tenant Mail Address City State/'Lip Phane <br />-�o t-� � �-�-""z.�" �- �� � v,�(� 3 � �r�4-..zr... �- �-t $o � S '�'� 5 � � SS�S�lB <br />�IeCtiiC�f COiTC(&CiOi...__ _,_.._.. MailAdiitesa City Siatel�l� Phone <br />�Ot�� f�al 8 8 � �'� <br />State Liaense Numher � '"�"�" <br />S �� <br />proposed Use of Buitding <br />I��� <br />SqUare Footage (lf resfdentia! new constructiort, remodef or addition) <br />�,Z �b y <br />Contract Price of Work <br />f���� � �Z1... <br />Con#ect f'erson (Plan Revlew) <br />Doscripfian 4f Work to Be Done: �'�'t �� �t�� k-►-�.� 1�S �� ������' � <br />IVOTE: WiRiNG 1N NON�DVU�Li.1NGS IS REQUIRED 30 FEE <br />6� iN Ft�4C�WAYS, MC ORAC CAg��. <br />� � C�0 <br />ClTY aF EV��tE7"T LOCAL SAL�S TA3C COD� [S 3705 <br />1 f�ereby cerftfy thr�t 1 have read end examined this applioaHo» anrl know the sama to be true and <br />correct: A// prOvlsfons of /aws and ordinances govamir�g fftis type of work W�ll be comp/efed <br />vyhether specifi8d he��ln ornot. The granfing.of a permrf does not presume fo give authonfy fo <br />v�olefe ar cance! fhe provlslons of any other state or local !aw r�eQulsting cvnstr'uc�lan ar tile <br />petfor►nsnce of consfructioq. Th2t7 am authorized by the ownerofthis.prop¢1ty to pertarm the <br />woJis for whTch appliCAtlol7 ls made and 1 comply wfth the 5tate ContTacfors Law 98.27 RCW ancl <br />296.200 WAC. <br />� ���� � ��� <br />