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8 l4�v�-o37 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> ��� ��c iC .LZ�i2 �1�� '/ _ ,` <br /> PROJECT ADDRESS �/� ��/P�� 7� <br /> ��� ����rJ �yi��'�.��-���v� ��� <br /> OWnef � � Mail Address Cily Sta fZip Phone <br /> �p�, ��I,� � /�/.�l��,��a�d�Z��� �,t�� �.a� ��/ <br /> TCrlant MailAddreas City Slatel ip�/a/�LrC2P�ng <br /> yGS _>7'./yG� <br /> EI�`�ntr_� Mail Address Ci1y Stalel ip Phone <br /> �� ��� � <br /> Stete License Number C ct Price of Work <br /> � / lf� � c�P)C�LC9r/x1y <br /> Prop ed Use ot Building Contad Person (Plan Review) <br /> �S S��r <br /> Square Footage residential new nstrucdon, remodel or adtlrtion) <br /> Number of devices(If low vollage) <br /> Description of Work to Be Done: fN��fiG� ��'J�/��j `�� /� ��u/"'����'v <br /> n,,��i Ts � � d�i ��� <br /> FEE O <br /> CITY OF EVERETT LOCAL SAIES TAX CODE!S 3705 �5 O <br /> I he2by certily Ihaf 1 have read and examined fhis applicafion and know fhe same fo be fnre and <br /> correcf. All provisions o�laws and oNinances goveming fhis type ol work will be complefed <br /> whei;ier specified herein or not. The granfing ol a permit does nol presume fo give auMority to PERMITJ! <br /> violafe or cancel t provisions o/any o(her sfafe or local law regulafing construction or the � � �O� + D�� <br /> peAormance ol trucfion. Thaf 1 am eufhorized by the owner oI fhis property fo peAorm the <br /> work lor whic ap ication is made end 1 comply with the State Con acfors Law 18.27 RCW and <br /> 296.200 W / � <br /> / (N <br /> S ure ale <br /> REV15E0 17 <br />