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i <br /> r---------- <br /> ; ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEOAR STREET, EVERf-TT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> �2-h---lz <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> l;r� � a -o5� <br /> ; <br /> p <br /> 3 <br /> 1 1,��c5-1 �'k�,nr ��l Lvcv<�� ,�.`A <br /> PROJECT ADDRESS <br /> ���e%�� �lu llG �38 �a��z 51 ��il��� yL � �6t1y <br /> OWnEf Mail Address City StetelZiD Phone <br /> f�l�lf��� � n�N <br /> Tenant Mail Addree Cdy Siale/Zip Phone <br /> � � � <br /> �„c.� l=. Irc {�� � 31u'o L��ti•c Ci S4 Ic�� int 1JFE g R ) � <br /> Eledricel Con�rador MaA Atlaress City Slale�Zip Phone <br /> D(�.L FI �1 � rJ � � � -IVn� <br /> State License Number Cont act nce of Work <br /> Pro�Use of Bwldmg Contact Person INlan Reviewl <br /> � <br /> � <br /> � Square Footage pf resident�al new construclion, remodel or edddion) <br /> I / / � <br /> �I Descnpuon ol Work lo Be Done /�rt�N� �{� ����� ��.=<<" � „"' �� ' " " <br /> i <br /> i __ <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO f'EE <br /> BE IN RhCEWAYS. MC OR AC CABLE. �u �j � <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CCDE IS 3105 <br /> 1 hr.reby r.erGly fhat I have ronA and eMmruned flus app6cehrni and l:now Ihe sarne fo be fruo end <br /> ronnr.f All piowsions ollaws nnd o�drnanms governinq th�s type ol work w�ll be cornplefed � �� (���� � <br /> �t-hethm spor.died herom nr not Tho aran6ng o!n pennd dnt�s naf nesumo fo give&uflronty lo <br /> wolafe or cancol fhe Inovisians o(any olfror stalo o�local lan mgu��hny consfruclion or fho <br /> ��erlormflnco of consfrur.6on Thar 1 am aidhonTed hy Ihe o�t^�er o!tlus p�oporty fo perfo�m Ihe <br /> �vorH lor whrch npp6cahon rs mnne�nAl mmply wRh Ihe Sfata Conhacfo�s Law 18 27 RCW anA <br /> 796 200 WAG <br /> �i �����1� /�Y/ ��a' �L — <br /> ' Signalure <br /> I._.___..____ . __ .___ . . . .__ _--___—_.__—_.__ <br />