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I1HF-f:-�C�1"'� Ii:21F+ FE019:Df�HL ELECTP.IC-EVERET 425-252-2599 T0:4252575E�7 P. 1'1 <br /> �'— -- <br /> - —-�'-------- � � I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, [VER[TT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everethva.org 3 �� �� �3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �,lgo 3-ob 7 <br /> � 7-3 � G�.aY <br /> PROJECTADDRESS <br /> FICMMAT ALLCN ���� ���,�� fi ��E e�F.�� � u1t y8.2o1 � <br /> OWner :.'ail Adtl�ets Cfly SlalelZlp Phone <br /> P�OPLE 's b� uk <br /> Tenant Meil Addreee CMy State2lp _Phone ; - <br /> ���-�sa_izo�_ <br /> 0�9N� ��wc7�« �4oq M�o���� /��ty rv�,e��r �„n� qda.�� <br /> ElectricalContractor MallAddrese Cily SlelerZlp Phone <br /> �i�li4C�( 9�� Q� — —�� ODD� <br /> Slale license Number CoNract Price of Work <br /> ���N � <br /> Proposed Use ot DWldh�g Conlact Peraon (Plan Revlew) <br /> Square Foolage(IttoslCential new wnalrucllon,remodel or addition) <br /> Descrlp110n oF Work to Be Oone: V W N IG. 1 6�UNNA/T ZM�DI,E�irT (��30�- 0�"� I <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IW RACEWAYS, MC OR AC CAf3LE. / L „� <br /> �J l�/ <br /> I CITY OF EVE-RETT LOCAL SALE9 TAX CODE IS 3105 <br /> I hers6y coRily thof!hovo rcAd end exnnunod 1Lis epplicufion and know fho samo to 6o uvo and --, � <br /> correct A/l provisions ollaws and oNinnnces govummg th�s typo ol�vork will bo complefed � �� � —O�j <br /> � �vf���fior specire�l�emin orn�t. Tho gr�riting ol a pe�nif does rio(prosunto to Aivo authon(y fo � <br /> Iwoleto or cancel!ho provi;ions oI ony otheYsfOto orlocollaw rtaguletinp consWcffon orfho <br /> poAortnanco o/constniction. Thof I am aufhorizod Gy flro owncr ol thlsp roperty fo pcAartn fhe <br /> work/or which applicolion is nmdo ond!comp/y with tho Stato Conlydttors Lmv 18.27 FC W and <br /> I296.200 WAC. <br /> I — _""` � --- �� �1��-3 ---- — <br /> I sipnawra on�e <br /> I <br /> �----- --- --- — <br />