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ELECTRICAL PERMIT APPLICATION <br />CITY OF �VERETT� PERMIT SERVICES <br />CEDAR STREET EVERETT WA 98201 <br />3200 <br />425-257•8810 - FAX 425-257-8857 — www.everettwa.org � _ 'a ,5 ' �Z <br />APPIICATIONS AftE ACCEPTED FROM 8 AM TO 4 PM <br />c�l� riGT� s� ���.�-�-«�� ��zo� <br />PROJECT ADDRESS <br />Owner <br />�' ( ( <br />Tenanl <br />[le�irical <br />ldail Address <br />Meil Address <br />M��I Addrt ss <br />P/� /' i %i,'_ ?�k Cl� lr - <br />Stale l.icense Number <br />Proposed Use ol l3udding <br />.L�L�n _ ' /1 .�^lt' <br />Square Footage Qf resldenlial new construclion, remodel or addilionl <br />Gily <br />City <br />Slate2�p <br />Stale/Z�p <br />Ei�����3u <br />� /Oo <br />Contrn Price o( Work <br />Contact Person (Plan Review) <br />Phane <br />Phone <br />�60 <br />Phone <br />Description of Work lo Oe Done: �LtJ (/pf % ,v� ii U� � d//¢/ � �y ���� 5 <br />NOT[: WIRING IN NON-DW[I.I.ING51S R[QUIR[D TO FEE <br />DE IN RACEWAYS, MC OR AC CABLE . � OUj,.) <br />�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />I hereby certily (hal 1 h�vu rond nnJ C� illlllllC(I II715 .1�J(JIICilIi0f1 i117O A/10P/ (IIC 57/IIC i0 IJL' IlIIC and -� UG� , I�' / <br />r,o�recL All provisions ollnws and ordinnnr.es yuvr.rnmg flus type oI �vork will bo compleled �� l 1 '"( ' <br />ivhelber specilieJ hcrcln nr nof. 1 hc y�anhny u/n ponmt does nof ��esurno fo givo aufhonty fo \ <br />violafe or cnncel lhe /vavisions o/any olher sf�de or loc.illaw �eyul.�tiny sonsfrucfion or fhn, <br />perfonnnnc� o/const�ucfion. 1'hat 1 em aulhu�ized Gy the ownerol th�s pioperty to perlorm fhe <br />�vork Ior which opplicalion is rnada nnd 1 curnpty �vifh fhe Sfafo Contiaclors Lnw 18.27 ftCW nnd <br />296200 WAC. <br />� �/'��/"� <br />il—�-- _� naiL�c <br />- ----��� �"l-! 7 --- <br />