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ELECTRICAL PERMI�' APPLtCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VER[TT, WA 98201 <br /> 425-257-8810 - FAX 425-257�•8857—www averettwa.org <br /> �DO�o /2ty G1�i.��i �GIr������8 <br /> PRWECT A�DRESS <br /> l�r���r l�i� � nr��,� � s������r�����, w� ����� <br /> QWnef MeIlAtldfes Cily StAIrJLp Phone <br /> �I� <br /> Teneflt Mail Addmss City StatPJZip Phone <br /> Pre��fi�Cl���� �o���-���� ����� g�o2z <br /> EICCViCaIConUactor b1ullAddicsc C'ity SIffio1Zp P�one <br /> prec��P9,��S �v �v <br /> ate License Number Corthact Pna:of Work <br /> ll��la ��1G1„(�I(,� ��� <br /> Proposod e f Builtling Conta erson (Plan Review) <br /> �f'/ <br /> Square Footage(It reside tlai new conaWction, remodel or oddltlon) <br /> Number of devic (If low wl�age) <br /> Descnption of Work to 6e Dane: � V(//� ")� �u �/[/ <br /> FEE <br /> CfTY OF EVERETT LOCAL SALES TAX CODE IS 3105 � D � O� <br /> I hemAy cor6fy Mof 1 hnvo mn0 nnd cxaminad this nppllen6'on and know tho samo ro b�frue and <br /> cortnct. �ll provisions oJlnwa arrd ordinances qovoming Utis type ol N�iic�ri116e complefad <br /> whefhnr:.pe�aYlod horein or not The pronttng oI a pertnK dais not pr!vs�me fo give aufhorfty ro pEftMlTs <br /> vio�ob o�cancxl the provlsions ol eny other sfate orlocal low�gulnbng r.onatrudlon or the <br /> peAormonce of cronsWclion. That 1 am auU�orized by fhe ownorof fh�s,mperty to per(onn the E � � Q� _ I �� <br /> wodr lor which applicra0c�ia made end!canply wfth fho SYetc ConhncJ�rc L&w 18.2Y RCW antl <br /> 296 00 WAC <br /> r ' � <br /> � ru ate <br /> r�iseo y+ara <br />