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-- ---- -- - <br /> --- -- --- . _ <br /> ' ELECTRICAL PERMIT APPLICATION '� <br /> CITY OF EVERETT PERMIT SERVICES <br /> � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> i 425-257-8310 - FAX 425-257-8857 -www.everettwa.org <br /> I <br /> v '� _� <br /> as � -�� 1� �- , �� �'z �l ��.�,Zz ��z <br /> iPROJECT ADDRESS <br /> ���y_ti/ � � ��� �0 ,� o�- � Z(�d z �v,e���G� l�''Z�6 <br /> ��i Owner tda�lAddre•s , Gty StatelLp Pnone � <br /> I <br /> I <br /> Tenant Ma�lAddress Cdy State2�p Phone � <br /> j SP 1�-- . , <br /> � ElectncalConira[tof Ma�lAddress Cdy Slate/Zip Phore <br /> I <br /> State License Number(required) Cdy af Everell 9usiness License Number(required) <br /> i t��-h,�-�-- �,�� <br /> ��, Proposed Use ot Building Conlract P�ice of Work <br /> r .�� <br /> Square Footage (I(residenlial new conslrucUon, remodel or adddion) Contact Person/Contact NumbedEma�l � <br /> ! Z -- �u�K �r�r � (�o� 6� — <br /> Number of devices (If low vcltage) <br /> Descnption of VJork to Be Done: l���tU �.��G V' � NG �/LV/i1.I.2"` � � ��J e ` <br /> �� 11 0 Y� �:' '-��`.[_- r�� - <br /> --�— i r v <br /> — , <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS a105 gO� �� <br /> I here6y certAy thaf I frave rcad and examined this app�icaGon and know the same lo be�rue anJ <br /> � correct. All provisions ollaws and orclinances goveming fhis rype o/work will be comple(ed � <br /> � �vhether spetified herein or noL The granting ol a perm�f does nof presume to qive authonty(o PERM[T# i <br /> � violafe or cancel(he provisions ol any other sfate or local law regulating consfn�cfion or Ihe r � ` , I I _ O/ _� <br /> ', pedormance ol consfn.�cfion. Thaf 1 am aufhorized by the o�vnerol thrs p�operty to perlorm fhe C L� l�/ , <br /> I v:ork lor which applica6on is made and 1 comp/y�vdb the State Contracfors Lari 18.27 RCW and <br /> 296.200WAC� '� <br /> I <br /> I ,� lG, � <f� , <br /> I� S�gnaWrc Datc I <br /> Lr:er�se�eenvrc�a — ------- - --- ------� <br />