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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �_v(j� /U <br />425-257•8810 - FAX 425-257-8857 - www everett�va org <br />GIyO�-0"` <br />� <br />' .� S/S l�o��� Pl1o�, (�,�e � <br />, PROJECT ADDRESS <br />� <br />Ownet <br />Tenanl <br />t.tail Address <br />Lta��l Atldress <br />Hedtncal Cestracter �� I.'ai r,dd�ess <br />1q c. Pa1 �10 L 46 z/�� <br />Slate Li�ense Number <br />� <br />Proposed U;e oi Bu�lding <br />I Syuare Footage (If residen�ial new conslrucUon, remodel or adddion) <br />Number of devices Qf low voltage) <br />Descriplion ol Wark to De Done�. <br />Cdy <br />C�ry <br />Cry <br />StalclPp <br />Sa1e2 0 <br />Pnonc <br />P�one <br />i <br />Pf17oS� �L�-337 Jo�!e, <br />State.ZP <br />�3 7G� <br />Contract Price of Work <br />/ � �f"�'�� i�✓l�iNi.�i� <br />Contact Person (Plan Review) <br />Pcorc <br />FEF — ---- - <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 rO ' U� <br />"1 <br />I hem6y cerfily (hat 1 have read and ezanrined this applicafion and Anow lhe same fo be tn�c anJ ___ _ <br />corn;c( All F�rovisions o/la�vs and ortlinances goveming (his fyae ol �vork r.il! be complefed --- <br />�vhefhcr specified heiein or nof. The gianbng o/a pemiil docs no( presurne fo give authonty (o PERt�11T:J <br />viol�tc or cancel fhc provisions o/ any olhcr stalc or locallaw m�ulafiny consl�ucGon or Ihe � I�[, D 1 ���� <br />performance nl constn�ction Tha! I.un aufhon:ed by fhe owner ol this property fo peAonn the "I L <br />�vork lor which app6cafion is made and 1 cornpty wdlr fhe Sfa(e Con(ractors Law 18.27 RCW and _ <br />296 200 WAC <br />f.cl'�b:J L:11J <br />