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_ - - - - - - - � � <br /> � - - - - - - - - - - - - - - - - -- - - _ <br /> i I <br /> � <br /> � ELECTR�CAL PERMIT APPLIC�ATION � <br /> i CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERFTT, WA 98201 <br /> i 425-257-8810 - FAX 425-257-8p57 - www evere!tw� org I <br /> i <br /> i APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I <br /> � I <br /> I � <br /> I' � _ � i <br /> ` wQ-�� ca��v�o C�� ��cl� � � 3 <br /> � PROJECT ADDRESS <br /> I <br /> I <br /> I Owner t.1ad ntl7ress Gty Slatc/Lp Pnone <br /> � IJI�(��S—� �t�, nc�i� �,� 1 �ue�k C�a��xo �2c� ��su+�.l WAR`szcx� �1Z53s3 v�SG <br /> � Tenent 6ta�lAd�ress CJY Slale/P�p P�onc � <br /> I i <br /> � �U1,1i1f?ll�IUQ. �`f�Cyt' l� �Cj '�,x v'�R� �t� �n o W� q4,2DV �lZ��GUZ�j�I <br /> I Eiectricai Co�tracioi Nad naa�ess <br /> CdY 5!atc/,'ip Phone I <br /> i '��n� I <br /> v�c��1c�T o titi K \_ �j ,OG <br /> Slale I icense Number Conlrac Pnce of Woik <br /> � � VV� QV\C1.C�_ <br /> � Pwposed Use of E3uddmg Contact Person (Plan Rewew) <br /> I <br /> I <br /> iSq�are FOotage(If residenhal new construchon, remodel or addd�on) <br /> � ` _�1 _1 p \ I <br /> � Descript�on of Work to Hc Uone �Q._��/t-C-�2 C\A�'�^A�1�'U '�e'eUIQ� � ��UII�Q (�V\�Q.. <br /> I � <br /> I ��_nc.� ,�1V�nc�c�c��Q �eo��_ -L ���c „"�y����cc� ccY�n,onc lc�y- I <br /> I - - -- — <br /> � NOTE WIRING IN NON-DWELLINGS IS RFOUIRED TO fE[ <br /> OE IN RACEWAYS, MC OR!1C CABLE . I a I <br /> CITY OF EVERE7T LOCAL SALES TAX CODE IS J705 ( _ I � � _ <br /> I he�chy certity(haf I bave iearl and examrnrd flus applrcahon dnJ krm�v fhe same In Ae frue and � I �O�I I� O <br /> cnrrer.l All pronsrans olla�vs and oidmances qov��nmg Ihis fype o!wnrX tvN be cnmp�Mr.d <br /> whefhe�spoc�heA hnrcrn or nol ThC yranbng o/a pr,nrof does no! vesume M grvr. aufhurdy ln <br /> v�o/afe nr canr.el lhn prov�srnns n/dny olher sfafe or/ocal law rr.gu�ihng con5fn�cLon or thn <br /> pr.rlomranr.e o(conshur.hnn Thal I am aufhnnmd hy fhe o�vner ol Ip�s property fu por/orm(he <br /> �vork for whicb appbcaGnn rs maAc and!compty wRh fhc Stafe Conlracto�s Law 7B 77 HC6V and <br /> 796 200 INA� <br /> I Signature �a���� <br /> � 1 <br />