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ELECTRICAL PERMIT APPL.ICATION <br />CITY OF EVERETT PERMIT SERVICES a`�� <br />3200 CFDAR STREET, EVERETT, WA 98201 �� <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org � �D _dI (� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />�' �5 � s. � <br />PROJECT ADDRESS <br />�'.sz ��, <br />Owner �deil Address City <br />Tenant <br />,� �� <br />[ledrical GoMractor <br />Ma�l AJdress <br />Mail Address <br />�:L����=03% � <br />Slate License Number <br />N rl�'' i/�)'iC`_ <br />Proposed Use o( Ouilding <br />""""l,� __ <br />Square Footage Q( °siden�mi nev+consliuction, mmodel or adddion) <br />i Description ol Work lo Be Done�. Li.� � � <br />Cily <br />�So� <br />Cily <br />Slate2ip <br />Phono <br />State/Z�p Phone <br />J��� .��<�i/o%'� <br />State�Zip Phone <br />yODn �` <br />Coniract Price of Woik <br />Contact Person (Plan Revie�v) <br />NOT[ WIRING IN NON-0W[LLINGS IS RGQUIR[D TO FEE <br />r <br />, f36 IiJ RACEWAYS, MC U� AC CADLF . � �-\ �J� <br />� V <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 -- <br />� 1 here6y ceriily (h��t I huvo read nnd er,�mineJ fhis ap/�lication �ind kno�v thc s�nm fo he I�ue and � I�I �_ i'1 I/ <br />� conneL All provisrons o/lu�vs nnd ord�n�v�ces yovmn:ng fhis lypo o/ uork n�ill bo comple(ed lJ lp <br />whefher specilicd Ncrein ur ncf. 1he y�orling o/ a pernut docs nut nesumr, to yivc aulliority to <br />vialafo orcanc •I�wvisions ol �my ofho� sfafc or local l;nv rogu�iGng consfniclion or thc <br />perlonnnnc � con (ruc6on. Thaf 1 mm �ufhorized by fhn owner al fhis �roperty fo pm(onn Iho <br />ionrir Inf wl r.h nppli�ofion is rnnda nn 1I co �l � 7h (he State Confrncfors la�v 18.27 RCW nnd <br />I �� <br />-�'D�� _ _ <br />--� ,�,�� <br />,� a ����a-- <br />