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ELECTRICAL PERMIT APPLICATION I <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25�-8810 - FAX 425-257-8457 -www everetiv:a org <br /> -. <br /> ��� / ` �;._ i v o �� � �� S ��- �� <br /> ' PROJECTADDRESS <br /> 7 ' <br /> I, �� ��c , I' - I f P� 7Y 13 fJ . <br /> r)�y�g� Mei Addieee City State/Zip Phone <br /> ��� I�enArd MeilAddrese City StetelZip Phone �I <br /> ��� �'�(,' I-f�.r i) /� � � �T' � t t fl � � 1 /) C. li <br /> ' flectricalContrAclor � MeilAddrese Cny Slate2ip Phone , <br /> - Slate Llcense Number Conlract Price o(Wark �, <br /> I�ioposed Use of&iilding Contact Person (Plan Review) <br /> '� '�Lt ' � � � <br /> Square Footage pf residei ial new consiruction,remodel or addition) <br /> � h�umGer of devlces (If low vollage) I� <br /> Ucscriplion ol Work lo Be Dona�. l�l/ I/Y � �' �' �� .� �� ��C � J✓u h7 t'-- <br /> �� <br /> FEE �CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 I 2���� <br /> i herchy ccrtr/y(hnf 1 hnve rend end e•nnrined this npplicafion nnd know Ihe same h b^(n�e nnd <br /> „�nvcf. All provisions o/lews nnAordinnrrces govoming fhis type o/worlc will bo co;nplefed � � <br /> �,�huflrer specrlied herein or noL The granGng ol n pemrif does nof prasumo fo givo fluthoiity tn PERMIT# <br /> �,�oi;�ro or cence!(he p�ovisions o!nny ofher sfele or locel law regulntiny consfnic6on or fhe r I �`y� <br /> i��r�/ommnce ul consfnicfion. Thnt I em nufhonaed by fhe ewnerol this property fo perlonn(he C ' C��'' <br /> ,:aik/qr whidi npplicntion is made and 1 cornply with Ihe State Confructurs Lew 18.27 RCW and ...--- J . <br /> ?96 200 W�C. . <br /> J7 ��� L� <br /> , ,. / 3 �.3 <br /> �—Srgne�ure e�e , <br />