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� 1�''�' '�T ti` _'°�'�q �'r"�#'4;r �,� ; ,,�y�.r� �,:�ii yd¢r, �� r.� L ,� � � �.� � + ; � >i <br /> � � e�v1a a.0 �i� � �._ ,wR..+�'�^ r`S'" 1�'" i�i:' {d .� <''� C'� �t�� � <br /> �.'y�i�.+y.��1+1�F . :wS3 .... . .. ` . . . . �' _�S ' �:. } :r <br /> . _ .-.a�r.���.`s.�s� ___ ......, .._ <br /> r_- - _ <br /> ELECTRICAL PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT. WA 98201 <br /> 425-257-8810 - FAX 425•257-8857 — �ww.everettwa.org � <br /> i <br /> I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i <br /> i <br /> ���-( 2�� %',�l"'� �� , I� ��x �,l-I , �W(� C�2� 1 <br /> IPROJECT ADDRESS I <br /> I � i � <br /> ' I-�i� I �����,� 1��. �o�; ��-�%� �i � v�v� �U�- ��2�, � _ '� <br /> Owner Mail Adtlress Cily SlalelZip Phone �I <br /> � � �,�, w� ��y; 2�-[ 2� �c� �� .� �v�v.�,i� . i1�IA �'�GzO � �� <br /> Tenanl Mail Addres! City SlalelZip cJ Phone I <br /> 20(Q 3�-j � � ' ) g° �� <br /> �� , � �, , � �,�,�,���,1< I �y�� I�� Gcue - ���.-�t� �vR �1Y13y" � <br /> l �rll( ( �� �� Lw� l;� <br /> Electrical Conlractor Mail Address Ciry SlalelZip Phone <br /> �� Ij[.9. AI�� �_�_,2�>;� �� %� , C� r� _ i;� <br /> Stale License Number CoMract Price of Work <br /> �C1VI�IC� U � � I �. <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> n �=� <br /> � L / � OiJ � �[i "� � _ <br /> {' <br /> Square Footage(If residenlial ne 'conslruclion, remodel or adddion) <br /> I <br /> Description of Work lo Be Done: !v �� ��Y'e' ��' '�U�'�� �`� " ' �W`" �' " V <br /> � vlwJc � O1,�,�.E �I .�C Vi�,�V���IUr'�. — _ I <br /> l <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. i ��- L� I <br /> 1 '� t J,✓ <br /> �!7Y OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 herc�by certil�thal 1 have read and ezarnined Ihis application anU know fhc•same fo be Vue and � <br /> conect. All p�ovisions al laws and ordinances govemrng Ihis typ�ol�vork will be conrplefed � <br /> �vhefherspecilied herein ornoL The granfing o/a pemut does nof presume to give authonty lo � ( �J�� – (� � i <br /> violafe or cancel fhe provisions o/any olher slafe ar local la�v regulafing consVuction or fhe ��-� <br /> peAormance o/construchorr. 7hat 1 am aufhoraed by fhe o�vner o/fhis property fo pmform the <br /> u�ork!or�vh�ch applica6on is made and I comply�vilh Ihe Sfale Ccnlractors La�v 18.2I RCW and <br /> 296.200 WAC. <br /> �( '�, ��� �r� � t � � � <br /> ` i na ure Uatc —� <br /> _.�_ ''n � 5 . y in r.--r�A . ��!�^ <br /> ��� ¢ AS <br /> r?, <br />