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, <br /> I <br /> I ELECTRICAL PERMIT RPPLICATION <br /> i <br /> ICITY OF EVERETT PERMIT SERVICES �_a�_.�� <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–w�w.everettwa.org C I�D�""�� <br /> I ApPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> � <br /> I <br /> Iv�l; � Ci:f 2�"i'T h�fll� i,��l �` lC)3 — <br /> !'ROJECT ADL�RESS <br /> ���c�i<�1�'��-1`�l <br /> I �i�Y State2ip Phone <br /> Ownet Maii AOdress <br /> � / V ��(1 � � � lYl�tl. �.1c,c,�103 �����--rt�� ��$ <br /> ��y�+—'� �`"' 1 � � Slate2ip Phune <br /> Tenant <br /> Ma�l Atldress ���y <br /> `" � � � �� +�� ,�� 3'3'1�. ��� l'� ��sl�� <br /> [� cal ContraClor Mail AtlAress <br /> City Slate2ip Phone <br /> ��--- Cln�' I�-(r,�L� <br /> , J �C�I�/�...�I �L��C��� Contract Pri�of Work <br /> IState License Number <br /> IContact Person (Plan Review) <br /> amposed Use of Buiiding <br /> iI I <br /> ,I Square Footage(If resldentiai new construclion,remodal or atldition) � <br /> i oestription of Work to 8e Dane: <br /> ��C`` ( �— ��' lLl/j �L (,f�l �l, � <br /> I i <br /> � FEE � � �� � <br /> � NOTE: BE�RN�CEWAYS MEC OR ACICAB QUIRED TO <br /> i I <br /> i ' <br /> ' CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> �'� I he�CDy coRily that I have rvad and eramined this applir.ation and knoN tho 5arna!o be fnm unU � I ZO! � I �� <br /> �� coirocL Aq pruvisions o�la�vs and o7dinances poveming th�s typo o(�+'ork will b6.Complefed i �p <br /> ��� �vhefhor spoc�Gctl herein or noG The grnofrng of a Aerrrut does not resume to g�ve authonty fo <br /> violato or carrcel fbe�rovisions o/any other sfato orlocel law roguPtmg conslrvcf�on or fho <br /> . peAamence of consfru�t�is rnado antl l c�pry���tf Ihe 5fa o CorrfracPrsnLew 18.u27�RCW and <br /> �vork lor which apP <br /> �i � 29 O WAC. / <br /> ( r I/' � �, � � <br /> � ��(� 1.��,`� �ete � <br /> i SipnaWre I <br /> I— _.. . <br /> _J <br /> �/� d L588 LSZ SZ7 « 16869h809£l xlian�3S 321f11dNJIS SZ�LO SZ-90-Z60Z <br />