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� ELECTRICAL 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 />� � <br />�v�����.� �,��Sr�- <br />PROJECT ADDRESS <br />I �� <br />Tenanl <br />E�eclrical Contrador <br />r— <br />rnail Aydress <br />Mnil AtlOress <br />Mail Address <br />5�� <br />Stale License Number <br />�� ��9'D�z�/C/ � �f'J� <br />Proposed Use of Bwlding <br />.��'z ,� � <br />Square Footage Qf resid 'al construction, remodel or addilion) <br />�� <br />tJumber of devices (Nlow voltage) <br />Description of Work to 8e Done: <br />Ctty <br />Ctty <br />� <br />S;dt^2�p <br />SGtelZip <br />Stale2p <br />CoMrect Price of Work <br />Contad Person (Plan Reuiew) <br />��-: <br />Phcne <br />Phone <br />Phone <br />F[E <br />CI7Y OF EVERETT LOCAL SALES TAX CODE �S 3105 rO L� J <br />I hrmby cerl�ly that I have �ead and examined fhis application and know lite same fo be true and / <br />correcL All provisions o/laws and o�dinanres goveming Ihis (ype ol work will be complefed <br />�:hether specilied hemin ornot. The granfing ola pennit docs not presume to givc aufhonty :o pERMCf�t <br />violale or cancel Ihe provisions ol any olhersfafe or localla�v regulating conslruction or fhe r� j r�, <br />peAormance ol constrvclion. ihaf I am aidhonzed by tho owner ol (his property lo peAortn llie E, � V Z— 1� W <br />�vork lor which applicahoy�+� ade and 1 comF�y wifh the Sfate Con(racfois Law 18.27 RClNand <br />296 2Q9"A'AC. / \ � i <br />i cew�rov:yi� <br />