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• <br />� <br />ELECTRICAL PERMIT APPLICATION <br />� CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, FVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 – www.everettwa.org � � — (,� _� � <br />I �1�I1� �.�d <br />C5.�3 13� ^� s+ S � ��I <br />PROJECT ADDRESS <br />Owner <br />� /vaiu re:s <br />� <br />Tenant <br />�ftPs �fl�`1 l�ullSf�Vi <br />61��I AdAress <br />��t{- �LC `l6�� li�f""PLst <br />61ad Aaeress <br />�ysteMs �y�o /�ur as <br />�� 61a I ACOress <br />BE��YNca�S, <br />Slal? L�cense NumAe� �reqmre,�) <br />Proposetl Use ot BuJdinp <br />S,uare Faotage Qf resident�al new conslrucdon, remoAei or aqC�tion� <br />N�mhr,r ol dev�ces QI low vollaq�) <br />Descnpt�on ol Work to Be Done tl�u IL �In ��b'C� <br />f,�ry <br />C�ry <br />c��v <br />SlateQip <br />aol <br />Slatcllip <br />q �B <br />Stale2�p <br />P�an� i <br />>'o1e? 3j <br />i'�one <br />�c �ss <br />��nonc <br />0� y �-86 <br />Cdy al Evr.refl Busmess License Number (reqwre0) <br />� � � °�' <br />Conlratt Pncc oi Work <br />��4k� �a�� 6J <br />Contacl Pcrson/Conlacl Number�Emad <br />11 ewP e�M �+S96errys �9� S yS �,•.� •�:,�., <br />F[F <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hereby cnrLty;h�l I have raeAand nxammed Ih�s apphca6on and know fhe sarno �o be huo and <br />conr.cf All provisions nl I�wS and orA�nancos govornmg fhis type ol work wrll be conrplafed <br />wholhnr sper.ihed hernrn or noL Thc granGng ol a permd dons nof presunro fo grve aulhonty fo PERMITJt � <br />vrolale or cancol fhe p�ov�sionx o/ any olha sfaM or ;ocal law ioqulahng conshuchon o� fhe ^ <br />peAormance o/conshucGon Thaf I am aufhonzod by fhe owner o/ Ihis property lo peAorm Ihe t <br />work lor whrch applicahon �s mado and I compty wi(h fho Sfafc Confracfors Law 1877 RCW and I <br />296 200 WAC <br />f� <br />r.c�..,.�urrtnnxnu <br />