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ELECTF�ICAL PERIIfi�T APPLICATION <br />CITY �F EVERET�' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257� 8857 - v✓ww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��1� f 1 <br />�I S�, I ��tn�� Nu��l W ��1/ /� - l`i�' <br />PROJECT ADDRESS ( <br />Tenant <br />Mail Address <br />Mail Address <br />Address <br />����,�,, ; ��,,; ; �� - <br />State License umber <br />p��se of Building <br />Square Footage Qf residenlial new conslruction, remodel or addition) <br />I i� _. <br />Descriplion of Work to �e Dane: <br />NOTE: EIRIN RAC W YS MEC R AC CAB QUIRED TO <br />CITY OF EVEr2ETT LOCAL SALES TAX CODE IS 3105 <br />t7;at 1 have mad and examined fhis applica(ion and know the same to 6e frue and <br />visions of la�vs and ordinances governing Ihis type of work �iill be, completed <br />i;d herein ornoL The gran(�ng of a pc-rmd does not p�esurne to give authonty fo <br />�l ihe prov�sions o(aoy ofherstate orlocal la�v regula(ing construcfron or the <br />constiuc6on. That I am authonzed by fhe o�vnerof lhis properiy to pedorm the <br />applrcafion is ma e and 1 compty ���ith the State Contraclors Lari 18.27 RCW and <br />�,, /�, ��,� 1� I s- �2 <br />City <br />City <br />Cily <br />S!ate/Zip <br />Slale/Zip <br />S�atelZip <br />Gf�)�- <br />Conlract Price of Work <br />Conlact Person (Plan Review) <br />or <br />FEE <br />Phone <br />Phone <br />Phane <br />5� � <br />