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ELECTRICAL PERMIT p►PPLICATION <br />GITY OF E�/ERETT PER;VIIT SERVIC�S <br />3200 CEDAR STREET, EVEREI T, VJA 98201 <br />425-257-881� - FAX 425-257-8857 – vnvw.everettr�a.org <br />APPLICATIONS ARE ACCEPTED FRON1 6 AM TO 4 PM <br />G �'� <br />SI �—�' LF k a�^FI�- �� <br />PROJECT ADDRESS <br />ri !�i^, nv ��;.j��`�>�lCc <br />� ,� -'-v <br />/ L ,�lE,�{. / <br />� f�, 1��: —�—�. <br />/ i� ���•''��f 1�[–� �����') �-f �y%✓�c'�� �¢� � i C Fhone <br />`^'� � � City StalelZip <br />Owner Mail Address <br />% / <br />Tena�t <br />Eleclrical Conlraclor <br />(����J� F: ��S �`�> :���i <br />Slate License Num6er <br />` Propos� Use of Bulldl^g <br />Mail Address <br />� ,`i <br />J ,n .�; <br />� �� ��r.; ��� � <br />Moil Address <br />City <br />Ciry <br />Statel.'.iP <br />�- <br />:,,r Ur^ ls` il <br />�atelZ.? <br />�� <br />Conlract Price of Work <br />Phone <br />'13 -y4"'-9�e�� <br />—=-- <br />Contact Person (Plan Review) <br />Square Foolage pf residential new conslruction, remodel or addilion) <br />Cn/�,�/��_ /,' Gi��/ i� �'✓1 - i`' q�ELt% G��r".%�fiS-S <br />Description of Work to Be Done: <br />NOTE: BERN RACEWAY3 MC OR AC CAB �UIRED TO <br />phone <br />FEE <br />�c�v <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �_ <br />I hereby certily Ihat ! have read and examined Ihis application ane o/ work �vill be co nplefed and �I ��,` {^ r, Q� <br />I �Jc� <br />coner,f. �II provisions o/laws and ordmances govemmg fhis typ �o��sfruction or the <br />whetlmr specilied herein or nol. The 9ranfing o/ a pernul does nof presurno to give aulhority to � <br />violafe or cancel Ihe provisions ol any ofYer sfale or local law regulafing , <br />pedormance of consbu�� 0 c n a'de e�d�� ��nP�Y ��« «�'eeSfafeeConfracPrsPLaw 18P27 RCW'and <br />% -(�. -13 <br />