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ELECTRICAL PERMIT APPLICATION <br /> CIT`� OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 r � <br /> 425-257-8810 - FAX 425-257-6857 -www.everettwa �rg � - a � 3 <br /> ( 1��0� - � (,� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM " <br /> � <br /> � `i (,% L I I c� � s ` �Evt��ri � `3 �S z�`b � <br /> PROJECT ADDRESS I <br /> I[-E�t �3Arn� L n-�::- _ <br /> Owner MallAdtlrese City State2'p P�o�e I <br /> � <br /> 1� � ' _ I <br /> TeneN Mail Address Ciry Slate�Zip Phone �I <br /> ��c.E � �l NE„� C �C--�.�-rL��. P �� �o x <br /> Electricel Contraclo� MaiiAddres= C��y SteterZip Phone � <br /> �:;<� � I �'� C ] �JS� 1 ���' _ � I L�o � <br /> Slele Ucense Number Conlrecl Price of Work I <br /> (Lc�rn ��t��: !� ��i _ A� �6�, I-1��� ' I <br /> Pwposed Use of Building Contact Person (Plan Review) <br /> � r <br /> �1 �n, ;�Y � /�'<' <br /> � 2�..� �� �-� » <br /> Square Foo�ac�e (II residen�ial new const«iction, rer�ode�or eddiUon) <br /> ) c: r�+3.F'� - ZJ /�-rrY' UILtv'r,— <br /> Description o1 Work lo Be pone�. ���S` �'^�^ti—`? �� A 7 .^'I <br /> I �J :��� �'1•y��1 G 12�n.l i A� IrL�'LO N r�.L t�l N�J n I N'1 <br /> NO1T WIRING IN NON-UWELLING3 IS RFOUIR[D TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE . p C� <br /> � O ' ./ Cl <br /> CITY OF EVERETT LC:AL SALES TAX CODE IS 3105 <br /> !!�����rby cerfdy Urid 1 hnve read nnd e�nrniimd!his ripplicnfion nnd kno�v(he some fo he hue and � '30/ _ ' / � <br /> .�„�.,:� (�ll(1IJV�SIOnS 0/I�nvs nnd ordmances�cvcrnmg fhis type ol wu�ti will bu cornpleted i / ip <br /> ,�.!,rther:�peciherl herr.in o�nof. 7he c�rnntinq ol a pwnu(does not resume lo yive nutHo�ity fo <br /> ,�.�.rofo or cancel thc Ivovisions ol mry other sfefc cr lucellnro re�uPhng constn�cGon n� r,�e <br /> ��,��lrunrance o/consfnictiorr Thal I nrn nu0ronzed by fhe o�+nei o/this iroporty fo peAomi fhe <br /> r.��,G lor whieh npphcn(ion is rnnde anAl contpty tvith fhe S(nte Confrnclors I.aw 18 2i RCW nnA <br /> ;���,r, 700 WAG ! <br /> ;__� ' �� �-- /_ z ��- � 3 <br /> 5�on fure Date <br />