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_ - <br /> _ _ _ __ _ <br /> - ------ <br /> _- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 6 -2�4-�3 <br /> 3200 CEDAR STREET, EVERETT, WA �'8201 �7 <br /> 425-257-8810 - FAX425-257-8657 -www.everettwa.org [_ 13p6-1�b <br /> I <br /> � <br /> ��.�j � l <br /> 5 �,���� � ., <br /> PROJECT ADD ESS ,� <br /> �'f i / i%J �c% � l�) �'��Y' lf-a/ <br /> Owner Mail Address City Slate2ip Phone I <br /> 7�! "`Yv'"���1 ' <br /> Tenan� MaA Address City StetelZip ^ Phone � <br /> �GG ��-�� _ I <br /> ' S� � ����r[% ,��f ��/S i,l�C��1i'l� � ,/ zi/, /S'70 <br /> rr s s— <br /> Eledrica on�ractor Mail Address City Slale2ip Phone <br /> �/, �/i`.�i <br /> ���lt! �� ��r � IJ l � <br /> S�ale Licens Number Con�ract Price of Work I <br /> 1 ( � — � <br /> Proposed Use ol�uilding Contact Person (Plan Review) I <br /> i <br /> � <br /> Square Footage (II residential new conslruction, remodel or addilion) <br /> � Number of devices(Ii low voltage) � <br /> I� � i <br /> � ��,� � al-�';,�-� ��;';l° �?v �'�c.�- i� � i <br /> �. Ucscription ol Work�o Be Done'. <br /> � � <br /> � �J- ' i �' <br /> I ---- _ _------ ------ -- - <br /> FEE <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 9105 7�-7 �_� <br /> / .. <br /> �heieby cer6ly Nial I hnve�eaJ nnd e.vnrnined fhis applicafion nnd k�io�v the snme to bo tn�e and � <br /> ,���rracf. 1111�novlsions ullmvs mid rn[linnrices goveming Ihis type�,l�vork�vill be r.ornpleled <br /> r.hofhr,r specilicd hercin ar noL The gran(ing ol n pemiit does no'presume to give nufhority to PERMITJt <br /> >��r�l;ife or cencel the p�ovisions ol any nthor s(efe orlocaUaw rer,ulnting conshuction or fho � I )C'(^ I I r�/ <br /> �� ��r�/ornranco o/corrshuction. Thnf I mn outhnrized by the ownei ol fliis pmperty to perfonn fhe � ���— � � <br /> �:�nh lar which npplicntiorr is nrnAe nnd I conrply wifh Ihe Sfafe Confractors Lmv 18 27 RCW nnd <br /> 7J6 200 WAC - '� � <br /> �� i' � <br /> r� ; - _-- �^i� i��. '�i� �i <br /> '��� � ".> . . _..__ ._._— ._L... .-----i� — <br /> 5,7n.nw,� _ - nale <br />