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i. ._. _. . . . _ . . _ _ . . . . . _.._ .. . _ . _ . _ . _ .. . . . _ . .. __ ____I <br /> ELECTRIC/AL 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 <br /> APPLICATIONS ARE ACCEPTEO FROM B AM TO 4 PM <br /> � �{ 29 � �E�a� <br /> PROJECT ADDRESS I <br /> �.� �1Vc� Z `tZ9 Ce �W �.���� <br /> Owner Mad AtlGress C�ly Slate�Z�p phone <br /> � TBnant Ma�lAtltlress Cdy State�Z�p P�o�e � <br /> I (.,I e�N'� � <br /> I �i�����.b�r� 308�� 7�� � u�v 5�.,..�ooD � 9gZ4 Z ` <br /> Elr.ctncalContractor Ma�inddress CAy Stalc�7ip Pnone <br /> ��c.k E.i 9�Zp� _` S�o `�- <br /> Slate License Number Gonlract Pnce oI Work <br /> fj 1—P` ---- <br /> � Proposed Use of Buildmg Contact Person (Plan Review) <br /> Square footage(II residenUal new consiruclion, remodel or addnion) <br /> Description oI Work to f3e Done� _ LU� I y__��i���N /' �'2-�-v �� S �-^�_ ^ I <br /> - --- -- — — I <br /> -� L, _ R«cSS� cAN L�(iL�- S <br /> _ C,�J__�N <br /> I — . .- - --- .. . _._ I <br /> NOTE WIf21NG IN NON-DWELf INGS IS REC]UIRED i0 FEE <br /> f3[ IN RAC[WAYS. MC OR AC C�f3LL- . `� D� <br /> � J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ___._. <br /> I hert�by ceRdy fhat I hove reaA and e*�mmed flns apphc,�hon and Fno�v fhe sarne fo br. true and �- / �� � _ O � <br /> cormcf All provisrons ollaws and nrdrnances govemmg fhrs fype o/�vo�k wrll be complefed I � <br /> whelhcr sper.i/icAlrerein o�nof 7he granhng ol n perrnd dnes no(pmsinno fo 9rvc aulhonty lo <br /> vwlare o�cancel(hr. prowsions ol any ofher slale or.'ocal law mgulatiny corrsfnichon or(he <br /> pedomrance o/corstiuctron T haf 1 em autlronred by fhe owne�ol fhis property fo perlonn Ihe <br /> work/or whiclr ap�licaGon is maUe and I coniply u�rfh fhe Slnle Con(rac(ors 1 aw 16 27 RCW and <br /> 296 200 WAC. <br /> —�C�--- -------- - �I s-�-`3 ------ <br /> i na�we Uale <br />