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ELECTRICAL PERMIT A�PLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EV[RETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www everettwa crg Eg� g! oo� <br />� � ' ��� .; . <br />PROJECT ADDRESS <br />,II, � �, i i 1 �• �, -� 2 , ' � : � <br />,, — <br />Uwner Mail Addmsa �nY <br />I enanl <br />Mail Addres! <br />Ciry <br />. <br />� <br />� . � , 1 ' � � <• �_ � ' � � C, :_`; c` , ��_ r-� l : r <br />I I�clrical Contracbr Meii Addrns City <br />� <br />. � - �� ; �' �' � <br />Stete License Number <br />� i 1. <br />I�inposed Use o( 9uilding <br />•� <br />Syuare Footage pl residential new conslructiui, remodel or addition) <br />, ..` �" � � <�� <br />Slele/Zip <br />Stele2ip <br />_ �_vi.a(1 <br />Sle�e/Zip <br />� '� .c1 II <br />( � _ c � I <br />Phona <br />Phone <br />i r1 ,.� 1 'i <br />Phona <br />j _ <br />� �� er_ <br />Contract Price o1 Work <br />� �� , � <br />�� .�. `! J` � a N Q- � <br />� <br />Contact Person (Plan Review) <br />V�innber of davices (II low vol�age) � <br />- J� ,i �� <br />i �uscrip�ion ol Work �o Be Done: � � � ' I � � , - `� X � � r , �. — � ' �S � �+ 2V � ' �Y I <br />/7 i <br />.� , ,��.: . i1' ��'I.� tlCti.` Lc'Z' � Sci�t�l� . <br />FEE <br />CITY OF EVERFTT LOCAL SALES TAX COOE IS 9105 �L�' �� �'��. �', , <br />� rnvehy cerfily Ihal I ha��e renJ nnd exnmined Ihis npp6cntion nnd know fhe sanre fo be frve end '� <br />�,�necf. All prtrvitems ollaws and o�dinnnces �oveming Ilris typo ol work will be cor'iplefeA � � <br />��rlhnr spealicd hc�ci�i ornol The �rnnfing ol a pemiit does not p�esunie fo give aulhonty to PERMTT# � <br />�. "ddte or cancel fhe proi .ions ol eny uflrer sfafe oi local I�w �Egtdnfing consfniclion or the � I �<� ^ <br />:�.•���,rnranrr o/ consfn�clioa 7ho11 em eufhonzed Gy fbe owner ol fhis properfy to peAorm Ihe 0 bC�/ _ <br />.. ,�. �. ,�...!��, �h npplicafion is made nnd I camply wilh fhe Stnle Conlraaars Lew 18.27 RCW and ��' <br />,-„ . .. _ir. . <br />. - . , i � <br />��� � <br />'��"� ;� ��l ' i I <br />. ....rtnre Dele I <br />