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ELECTRICAL_ 4ERMIT APPLICAiION <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www everettwa.org <br />� •� �6� 7l <br />�� PROJECT ADDRESS <br />�i r� . �i � � �-„ l�i = "�� ( i i',�� i 1' 6 � <br />� Ovmer Mail AdCreee <br />Tenant <br />Eiectncal Contrador <br />'. State License Number <br />Mail Addrass <br />Meil AtlOrass <br />, ' i'������ <br />� i - <br />, Proposed Uae of Budding <br />I � � . � : . <br />Square Footege OI residential new consWction ramodel or eddihon) <br />Number of devlces (II low voltage) <br />)� I �L t�' �� [i�/i <br />City Slele2lp <br />cey siaia2�v <br />Ctly <br />S181B21p <br />�. . _ <br />Cont�ect Pnce ol Work <br />Contad Person (Plan Review) <br />�.�, � <br />�,. � ' <br />Phone <br />P�ona <br />Phone <br />��. , , �� `, , L ,�l � .t'- (� <br />��� Descnption al Work lo Be Done _'-' " � �"' — . �� <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE I$ J106 ~� j�"�.� <br />I horeny ���,mty u�.�r i�,. vo med and xrammeA fh�s oppl�r.ahon nnd know fhe same fo be Inie ond <br />cunm:f AU pmv�sions nl laws anA oNmancos gnvenrrrrg fh�s typo ol work wi�� bo canpbfvJ <br />whefbai s�wcifiod homm ro noL The ��rnnfvey ol a{wmut dtws not prosumn fo give nulhnnty �o PERMITk � <br />vinlafe o� cnna+l fhe pmvisinns ol any nfher slnte o� la•al fnw ret ulnfi consfniction or fhe � ( <br />��eAomwnc� o/ consfnicfion 7haf 1 nm aut ted by fbo rnvner ol fbi� ruperty fo pedomi fho E I�%�. ��� — U(� `. <br />work lo� which npphcafion is rnad� und I c nply witb tbe Stnte Confracrors Low 18 27 RCW and <br />79B 200 WAC - � , � . <br />i / � � <br />'/ y///�� �� } <br />"�� , ' Z f i Y! / '.1 �� � � _ . - <br />. .:•,rn wnu <br />