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ELECTRICAL PER11lIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � U ��3 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org 1 � <br /> L r�; ..o S� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��2� CS/'ce��cl cJ� i� _ <br /> PROJECT ADDRESS <br /> Owner Mail Address City Slale/Zip Phone <br /> ��o�� ,��� i��r �����,� ��-��� u�- <br /> Tenanl Mail Address � Cdy State/Zip Phone <br /> ,�.�,��,-�'��-,� �P'o,�x ��,3 ��c� r.21�- � ���I <br /> �EleclricalContractor MailAddress City StatelZ�p (/�r ��9PS1oo$ <br /> 7�-� Jr�� <br /> 9 `[��/� ��n���C.��➢ �� �17� —:!��r <br /> Stale License Number CoMract Price of Work <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> /� SL Fi <br /> Squa Footage(If re 'denlial new construclion, remodel or addition) <br /> Description oi Work to Be Done: �-�f'� �l t'�G[�1�� h� t` � �u LN�-�t— ��"�=—'"' ������ <br />, �`-� � ���� ll <br /> � NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. n��c3� <br /> G <br /> CITY OF EVERETT LOCAL SALES TAX CODE If 3105 <br /> I hereby crRily that I have read anAexamined this apWlication and kno�v fhe same to be tnre and �l�� � _ o5g <br /> co�recL All provisions o(laws nnd ordinances govenung tnis type o/�vork u�ill6e completed <br /> �.helherspec�fied herein ornot. The��anting o/a permd does notpresume to give authority to <br /> violafe or cancel the provisions o/any o(herstale orfocal law iegulatin�constrochon or fhe <br /> peAonnanee o( nstrucfion. Tlmt 1 am authonzed Gy the ownerol this property to pedomi the <br /> �vo�k/or�vhich a lication is made and I compry�vdh fhe Sfete Contractors Low 18.27 RCW and <br /> 296.2 OWi1C. <br /> v,'�� 1 �3 <br /> �,: <br /> ig atu a e <br /> \ ---- � �- - \------ --- --- _ <br />