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ELECTRICAL �ER�tT APpL1CATiON <br /> CITY 4� EVERETT PERMIT SERVICES <br /> 32(30 CE�AR STREET, EVERETT, WA 98201 <br /> 425-2�7-8810 - �A}C 425-257-$857—www.everettwa.org <br /> APPIICATI0TIS AR�ACCE#�TED FROM 8 AM TO 4 PM <br /> � ��ZZ <br /> ��1N1 �✓� � - <br /> PRO.IECT ADDf2��3 �''�'"— <br /> .� l5 l� � �2� <br /> QwneP h,Eai1 Addras JLO ��D <br /> Sta[elziq PRane <br /> ��nt Mail A re <br /> C�Y State/7.ip Phone <br /> � � � l � ��� ��� <br /> EleCttical Ca1trBCior Mail Adc}�gss �ny State/zep Phone <br /> �� E � - � �-! �n c� <br /> SEate Li �se Number Cpntrac[Price of W� <br /> 'd��'a � ��r ,��� <br /> Propo�Use o �uilding Contact Persa (Plan Revievv� <br /> 22 �� <br /> Square Footage(If residentlal new construdian, r$mod�l or addition) <br /> DeSaipdon Of Work to 13e Done: �O � <br /> NOTE: WIR�t�G (N f�ON-UWEL�INGS IS F2�QUIR�p�p � <br /> BE IN RACEI�NAYS, hAC OR qC CAB��, <br /> CETY�f�R�'T�.O�;,AL 3AL�S TAX CO�!S 31ob �O � <br /> �her8by�rtffy d�st I haire r�sed and examined thfs appllcet(pn and know the same to be irue and <br /> �ct All provisions of Jaws 8r1d ordinanCes governin thjs ty�e of worfc w;/1 be c�mp/et@d <br /> wheMer speci�ert hereln or not. The gr�nbng�8 peni��not p�sUmp�Q g��ry ta <br /> violat8 or cap�!Ifis provrslons of any ofher St&te or loc&!!aw regulabng cons�����e <br /> pe�fomtance of canshvction. 77raf/arrr audhorized by ths ownsr of thfs property to perfvrm the <br /> work far whicl�&ppllca6cx�is made and 1 comply with the Stafe Cont�Bctors�8w 18.27 RCW End <br /> 298.20D WAC. <br /> 2 � <br /> SignAtufe Date <br />