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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />7 � � '��=1 f� ��,{-- �)L <br />4 %— <br />PROJECT ADDRESS <br />Owner <br />Tenan� <br />J� " <br />Fledr eal CoNractor <br />State License Number <br />'�d� <br />Proposed Use ol 6uilding <br />Mail Address <br />Matl Address <br />MadAddress <br />Ciiy <br />City <br />�7��y la 3 � � , <br />City <br />Square Footage �ii �,^sidenl�ai new consiruc�ion, remodel or adddion) <br />Number of devices (If lov, voltage) <br />Descriplion ot Work to Re Dane. � <br />Slale/Zip <br />SlatelZ�p <br />Slate/Z�p <br />Phone <br />Phone <br />tsz <br />Phone <br />��p•�z: Grs�S <br />Conlract Price of Work I <br />i� <br />�j,�.���,., � ,� —' '7Z_'-G� /�y <br />onlact Person iPlan Review) <br />FEE � I <br />� <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 j;�� __ <br />I hereby cerGly fhnt 1 harve read nnd exnnrined tliis applicaUon and 6now fhe same to be f�ue nnd <br />conecL All provisions ol/aws and ortlinances yovemin� fhis type ol wonc �vtll bo complefed <br />�vhefhw specdied hemin ornot Tho c�rt�nhng ol a pem�it does nof presumo fo give nuthonty ta PERMR# <br />viol;�fe or canccl Ihe provisions o! any ofher s(ato or loca/ law regulafing consfniction orfhe ��-, c— i <br />pe�fonnnnco ol constn�cfion. Thaf 1 mn nufhonzed by fhe o�vner o/Ihis propeity to perlonn flie E I-- �., � � I -' I <br />�vnrk lor which npplrc��fion is made anJ 1 conrply wrth the S(afe Confracfors Lnw 18.27 RCW and �I <br />29G200 WAC. . <br />,, �� � � � �,, j�. I <br />, <br />,�//�/; _ _ � . k' l � �:�,� � , �: I <br />