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ELECTRICAL PERMIT APPLICATION <br />�p CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vvv vv everettwa.org <br />Tenant <br />State License Number <br />Proposed Use of Building <br />Mail <br />Square Footage (If residential new construction, remodel or addition) <br />Number of devices (II low voltage) <br />Description of Work to Be Done: <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br />City <br />City <br />State/Zip <br />State/Zip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />I hereby certify that 1 have read and examined this application and know fire same to be true and <br />correct. All provisions of laws and ordinances govoming this type of work will be completed <br />whefh spocil ed heroin or not. The granting of a permit does not presumo to give authority to <br />viol• r cancel the provisions o/any other sfafe or local low regulalmg 'a give <br />or tiro <br />Pe <br />o ante o/ consWction. ThoI 1 am aufhonrod by tiro owner of Bu• pmporty to pedomr the <br />wor r whirh appbcahon is made and I comply with the Slate Conl: s Law 16 27 RCW and <br />296..00 WAC, <br />Phone <br />Phone <br />FEE <br />�D ir71 <br />FMIl c' <br />I>09-DOL <br />RE VISEa )qan] <br />