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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br />APPLICATIONS AI2E .4CCEPTED FROM 8 AM TO 4 PM <br />/-(-�`�� l��L� �.G.c, ��� -�j �v�' t�%� �� 2E�� <br />PROJECT ADDRESS <br />Owner <br />TenaM <br />�� S ��c.�ii �., �!-� E S <br />Mail Address <br />1� � <br />Mail Address <br />�_r� � � � -�� � s 3, <br />EICCtdCal CONraCto� Mail Address <br />� i,t�t� i. N�� �6D �-�/ <br />Slate License Number <br />��ss'i,.ctiv�,�,�'( . <br />proposed Use of Building <br />Square Footaye Qf residential new construclion, remodel or addition) <br />�.v� �d{ ���e��v'�}-� �3 <br />City <br />City <br />s'� �u(.���r <br />City <br />State/Zip <br />Stxterzip <br />Phone <br />rnune <br />`�b 4oy �s3 2�b ��- � <br />State/Zip Phone <br />�j����L� <br />Contract Price of Work <br />Conlact Person (P�an Revievi) <br />Description of Work to Be Done: L��S `W��� \ �'� `I �" "� � �� f � � `�� L� � `�S \�� �L�/4� <br />��lrz oQ o ' <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />I3E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heroby cmti/y (hat I have reaA <br />canecf. All prowsions ollaws a <br />�rhefher speci(ed herein or not. <br />violate or cancel the provisions <br />peifommnce o/construction. T <br />work Ior which applicafion is m� <br />z9Y' � �',( ��(,��;�,'C <br />fhis applicafion and kno�v (he sanie to be Irue and <br />governing fhrs t ype o/ u�oik �rill he completed <br />ol a penntl does not msume (o �ive authonty to <br />3te or local law reguPting consliuchon or fhe <br />ized by the owner olthisp roperty to perfonn the <br />ly wifh the Sfafe Confracfors Law 1827 RCW and <br />� �� ��-�� � <br />FEE � <br />g�s <br />�120�-13� <br />>� <br />