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i--- ----- <br />' ELECTRICAL PERMIT APPLICATION <br />;' CITY OF EVERETI' PERMIT SERVICES <br />i 3200 CEDAR STREET, EVERETT, WA 98201 <br />i 425-257-8810 - FAX 425-257-8857 - www everettwa.org <br />� ��� � �v���.� � ���� <br />I PROJECTADDRESS <br />Ovmer <br />� <br />Tenant <br />IAail Address <br />��iail Adtlress <br />i�/Ey a L!i ,iN� ��// ��a �/ f s <br />E;ectncal Comracror �.ta i Address <br />l�� e� �,� �` i � � Js <br />State License Number <br />Proposed Use of Buddmg <br />0 <br />. Square Foolage (II residenlial new construcl�on, remodel or addd�on) <br />i 1 <br />� Numbcr of de es (II lov� vcllage) <br />I <br />� Descnplion ot'Nork to Be Done: 1 <br />i /�i, �. C' _ ( . v7 . <br />Cily <br />City <br />Cily <br />vU�'�•..�i1z - �G�/�aJ,a-/ <br />State/Lp <br />Slate�Z p <br />/� �h�O�Z <br />Slate�Lp <br />s�� o °= <br />CoNract Price ot Work <br />Contacl Person (Plan Review) <br />Si c�r. SAv� <br />A,�o.-. �>'S'�-,..., <br />Pnone <br />Phone <br />Pr.ore <br />I <br />I <br />I <br />i <br />I <br />FEE � j <br />CITY OF EyER[TT LOCAL SALES TAX CODE IS 3105 !� D• OD I I <br />I hereby cemly piaf i have read and examined U�is applicafion and tino�v the sarne fo be (rue and ___ J I <br />conec(. All prov�s�ons olla�vs and ordinances goveming fhis type ol �vork �vill6e complefed <br />rvhether specdied herein or noL The granfing ol a pemnt does no( presume (o give authonty �o PERMITN �� <br />viol�te or cancel (he provisions ol any other sfafe orlocal latv re9ul'afing consiruction or Ihe E 30(� � I <br />perlonnance o! consln�ction. Th.N-her airthonzed Gy Ihe owner oI fhis property to peifo�n fhe � �!J - � <br />r:o�k Ior u�h!clr phcafion is nrade and comply v��fh !he S(ate Contracfors Laiv 78.27 RCN✓ and <br />?96200 WA� <br />� � <br />i �� — ZO.G —S ia — Si z/ <br />�::��;:: �, <br />