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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVIC�S <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vwvw.everettwa.org <br />APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�U91____ . Gra.n� <br />PROJECT ADDRESS <br />� Z `-3'� �.�z <br />�l�la--l�i 7 <br />�+w���� ManHaamss Ciy Slate/Zip phone <br />Mail Address <br />Electrical Contractor � � Mad <br />��.��na 1 v�/ <br />Slate License Number <br />l�l�i-� . <br />Propo .d Use of Building <br />Square Foolage (It residential new wnstruction, remodel or addition) <br />City <br />City <br />Slate2�p <br />Phone <br />3�0- �f35 � <br />Phone <br />l Z60•oo <br />Contract Price of Work �� <br />ir1�c;,k - �y3c,. �,p� 3 <br />Contact Person (Plan Review) <br />NOTE: WIRINC, IN NON-DWEI.LINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />l hereby certily fhat I heve read and examined fhis <br />correcL All provisions o/laws end ordinnnces gav <br />whether specihed herein or noL The granting o/ a <br />vi0lafe or cancBl (he o�ovisions ol anv olher sfnle r <br />I comply <br />ation and know Ihe same fo bo hue and <br />fhls fype ol work wdl be compleled <br />does nof presame fo give aufbonty fo <br />' law �egulafing consfrucfion or the <br />r owner ol lhis property fo peAorm (he <br />Sfa(o Confrac(ors Law 18.27 RCW and <br />ia � � �- <br />FEE � �y1 <br />5 V <br />.� <br />E�Zl2-��� <br />