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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 — wvmevarettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />A')Cv ry `��' - <br />- <br />City <br />State/Zip <br />Phone <br />Owner Mail Address <br />Mail Address <br />City <br />State/Zip <br />Phone <br />Tenant <br />�od1 <br />c <br />Sl S/t1 f1n, 'VN�II <br />����u W�1• y <br />`f�S=. <br />;j1i� <br />City <br />State/Zip <br />Phone <br />Electrical Contractor Mail Address <br />L lc LoL WErS`�Yy B� <br />/� �oe°r <br />Contract Price of Work <br />Stale License Number <br />Contact Person (Plan Review) <br />Proposed Use of Building <br />N j�'oo <br />Square Footage (If resident al new construction, remodel or addition) <br />Description of Work to Be Done: <br />S 1\ JT GJS <br />FEE <br />NOTE: KEIING IN NON -DWELLINGS IS RE <br />RN RACEWAYS, C OR AC CAB QE. <br />UIRED TO � <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that 1 have read and examined this application and know the same to be true and <br />correct. All provisfons of laws and ordinances governing this type of work will becompleted <br />whether specified herein or' riot, The granting of a permit does not presume to give authority to <br />violate or cancel the Provisions of any other state or local law regulating construction or the <br />nadormance of cons c uom,That 1 am authorized try�fhe orti per o(thisrop aY ta27 RC Wland <br />