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� <br /> 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 /> I <br /> � � I I v I (7 f'i� M U� �'(a J �� � _ �I <br /> I <br /> PROJECT ADDRESS <br /> ' T n� Ap 9S3 2 03 yzs - 2 3 �'� �3SS; <br /> , I N�T r`l` ����� Sa'��— y SlaterZ�p Phone �I <br /> O�vne-�r^�— IAalAtldmss Ctl <br /> �, �y�1,L ���y Slate/Zip Phone <br /> � Tenant hlad Address <br /> � Cyz 7) <br /> ;� 'c. Sl2 w o z2-z o <br /> � ���Y StalelZip Phone <br /> � E� ctncal Contractor A1ail Adtlress <br /> o O <br /> (� 9-7 ZU U '`_ I <br /> ' ��r�'" �� " i7C/- C ntrectPriceofWork <br /> I tate License Number <br /> IJ / ,✓ Contact Person (Plan Review) I <br /> Proposed Use of Building � <br /> il � <br /> � Square Footage pf residential new construct�en.remodel or addition) I <br /> Number of devices pf low voltage) II <br /> Descnption ot Wark to 8e Done. u- � <br /> . I <br /> FEE I <br /> r <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � `J , �� <br /> I here6y certi(y that I have read ano zzamined Il�is application and know fhe ssme ro be We and <br /> r,onect. All provlsions ollaws and o�dinances goveming this type o/%ork�eill be cemplefed <br /> c:hether speci�ed herein c r noL The gnnting of a pemiit does not presume to give euthonry to PERMIT# <br /> �nolate or cancel Ihe provisions o7any o�her state or focal:a�v r2gulatir�g consfruction or the � 1 �/ Q — ( ��� <br /> 1 � <br /> ;�eAormance ol construcfiat That!am authonzed by the ovmer o/this property tc pedonn Ihe c� , <br /> �:ork krwhich application is made and I comply�.:ith the State Contractors Lae:78 2%RCW and <br /> 296�00 G 1 <br /> S�9nature a`ez 7 U <br /> I <br />