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-� - <br />-- � <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 />PROJECT ADDRESS <br />Tenani <br />{ I /YIJf. <br />CoMrador <br />Proposed Use of Building <br />L7aJ �tltlress <br />!otaJl�ad�ess <br />fj --li'_"/?i <br />C, r 3U1�-IL�1 <br />Stale/Zip <br />StateiZ p <br />P�ane <br />Phone <br />I�tad Adaress Gjy State2ip Pnone <br />� �-r� G/� � Gi � � <br />C nlrac� Price of Woik � <br />Square Footage (tl residenlial new construdion, rnmodel or addiUon) <br />Number of devices Qf low vollage) <br />Description of Work to Be Done: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contacl Person (Plan Review) <br />� �� �� � i <br />i <br />a--��►-4T-�, u � '�S <br />I hereDy cert�Iy thal 1 have read and examined Ihis applicafion and know the same to be Inie and <br />r.orrect. Aq prov�sions olla�vs and ordinances goveming Ihis type ol work wili be comple(ed <br />�vhefher specified hemin or noL ihe gran(ing o/ a pennil does no� presume to give aulho�ity to <br />viola(e or cancr,l the provisions o! any ulher slale o�local law regula(ing r.onslrur,(ion or flre <br />perlonnance o/ consfn�ction. Thaf I am aufhonzed Uy (he ownerol this properiy (o peAomr the <br />e;ork lor which application is made and 1 comply �vdh the State Con(raclors Law 18.27 RCW and <br />296. 200 INAC. <br />r+e�+sen �rzon� <br />FEE <br />�0-�U <br />PERM1711 l� <br />E f3010- <br />