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ELECTRICAL PERMI�' /�PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereriwa.org <br />hPPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� I ���= z��� n� c,�,�� <br />PROJ C ADDRESS � <br />Owner <br />Tenant <br />Mail Address City <br />��ll 5� �,`e�-�llr�i/ c <br />Mail Address C� <br />r <br />r. i v/ l.-, -� /�.._ CA C <br />If����.(/��.�9�/ M,� <br />� S'tate Ucense umber <br />l�/���I1 � ��ii� (�l�i <br />proposed Use of Building <br />Square'FootaBe (If residenLal new construc4on, remodel or addihon) <br />Description of Work to Be Dane: <br />�'t),1 GrF�'1 cr � ^ � � , �=�- <br />z <br />NOTE: EIRIN RA EWAYS MEC OR AC CAB EUIRED TO <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />certily thef I f�eve read end exemined this <br />All pmvisions of lews end ordinnnces gov <br />'�ate/Zp <br />�-a9—�3 <br />��3t�1�155 <br />Phone <br />Phone <br />��, �,�yt�P Phono <br />r <br />����C7(� <br />Contract Pnce of Work <br />Contad Person (Plan Review) <br />end know the same to be tnie end <br />ype o1 work will6e completed <br />o nol presume fo give authonty to <br />reguletingconsWction ortbe <br />ero/this propedyfoper(crmfhe <br />� Contreelors Lew 18.27 RCW end <br />FEE <br />8�' � <br />Ei�o�- �s5 <br />