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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.evereitwa.org <br /> y � � -� 3 <br /> W l'/ � � ��- C- �3�4�179 <br /> � �;/ �� <br /> PROJE T ADORESS <br /> 0���`�Mad Address City Sta�ell.ip Phone <br /> Tenant �dailAddress City S�atMZip Phone <br /> f c� �'r QO ��� ,�,,� e� W� �'}o� y�7 �3 <br /> Eleciri al Con�fac or Mail Address Cil� StalelZi � Phone ��' ��� <br /> -e� �� � �GI ���� . ` J <br /> tate ice se Number Coniracl Price of` ork <br /> �� � � <br /> Proposed Use ot Duildiny Cantact Person lan Review) <br /> Square Footage pt residential new conshuction, remodel or addilion) <br /> Nuinbcr of devices (II low voltage) <br /> Description of Work �o Dc Donc: _lJC(J�-�J�/d�__..� �_�J (n e1 _��p Yl/✓� ��✓� � c� <br /> -�a .��-�_�� �1�_ -- <br /> u,. �IQv�c�� , s �- � c-� <br /> FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �l G� , v� <br /> I <br /> 1 hereby certi/y fhal l have re:+d and exnrtrined this applicafian and biowlhe same(o L^:rve and __ ___ <br /> cortect All provisions o/laws and ordinances govr,ming fhis type ol�vork will be cornpleled <br /> whefher specificd hr.rcin or noL The gnntmg o!a permd does nat presume(o give aufhadty fo PERPIITY <br /> violafe or cancef(he pwvisions ol any olher slate orlocaf law reyulating consbuclion or ihe ^ �� L� _ ( C� � <br /> perlomronce ol conslruc(ion. Thaf I am aidhorived by Ihe ownerollhis prnpeRy lo perlonn!he t Q � I <br /> •.vork lor�vhich application rs made and I r.onq�l,v�vilh Ihr. Sfa(e Contraclars Law 18.27 RCW and <br /> 296 200 WA <br /> ---- --����_�L�� <br /> S�9wlurc � � ate <br /> / <br /> ���vrd o v,'sn <br />