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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA98201 l�_�Z- �Z <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />�' <br />r � ' i <br />r� i �� <br />PROJECT ADDRESS <br />� � I <br />Owner <br />Tenant <br />� <br />" � i� i.,., �, � <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />;f , <br />fdail Address <br />M iil Address <br />C ity <br />Ciiy <br />SlatelZip <br />StatelZip <br />C /Z�o-o�5 <br />Phane <br />Phone <br />2+; <br />i. '�'. �i,,�.�.���ir.��' I!'C�� =AC7 r.r.:��ll���r�r-� �r� tp�i (�i/1 `1d�:�%� 1?�•t6i/ <br />� � � / `-� SletelZi Pnone <br />Electrical Conlrector Mail Address Cily P <br />Slalo License Numher <br />" — <br />Proposed Use of Buildiny <br />Square Foo�age (II residenlial new construc�ion, remodel or addltion) <br />,��,, <br />Coniract Price ol Work <br />Conlact Person (Plan Review) <br />DescriptionolWorkloE3eUone: �� i.�'i�.l� �•i� � .,',e„•;:�pn� �..e�. <I �e.���tr� <br />NOTE= WIRING IN NON-DWELLINGS IS R[QUIRED TO FEE <br />f36 IN RAC�WAYS, MC OR �C CAOLE . �0�17 <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 — <br />1 horeby r,crli(y fhnf I h+rve rcaJ nnd �ramined fhis epplication aradkno�v Iha samo fo be fruo and <br />ca�recf. All p�ovisions ulla�vs nnd o�dinun�es govr.nring Uiis typo ol woik �vill be cmnplefed <br />�,vlicfher specilied hmcin crnof. 1 hc gr.�nhng ol n pennrt does notp resuma lo �ive aulhority fo <br />viola(oorcnnccl(he /novisionsolonyofhr,�sluloorincnlla�vn�gulafingconshuclionorfl�o <br />pwfonnance olconst�ucfion. 1 hnl l arn auBiurized by fhn owne� o/ Ihis �ropeRy to pedomr fhe <br />�vork lor �vhich npplicnlion is mndo nnAl conrply wi0r Ihe SfAfa Conhacfors Lmv 18.27 ftC4V and <br />296200 WAC, � <br />'l� <br />, . , . t , � � -- <br />-- — � � <� � -- -- <br />— -`-- _ -- --- --- — <br />-�-- - �5�9r�,ii,ie � uale <br />��z �o— c�gs <br />