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ELECTRI�AL PERIVIIT APPLI�ATION <br />CITY OF �EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />5�a�-�z <br />� iz�s-��°i <br />��%% l S��V'E-l�ll• �#��J <br />PROJECT ADDRESS <br />G���va�m� P/zd(�.�1 m9�9cE�F�TI� <br />�S�'�ta� ��u-�-l� l�am�oWw�S 1¢sSoC- 7/� Cc�:�'G"�v r�� S�� <br />Gwnef MailAddress ���Y � ��,/ — �� <br />(j) �1.�`IPI.� C�� o S <br />Tenant Mail Address <br />¢/�37r C�qIL E.GF�Y,e/ C <br />Elecirical Conlractor Mail Address <br />� / /�" . <br />�-� <br />r <br />City <br />iyz6 � �E- <br />City <br />�,�s'rc� 97/,�C. _ <br />State License Number <br />�'�Iu��-� F�?mi�'1 <br />f-'roposed Use of Building <br />�/� <br />Square Footage Qf residential new construclion, remodel or addition) <br />Description of Work lo Be Done: /W ��� �-SCK-V � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />StatelZp <br />Gu,� -PBza� <br />Phone <br />yL�-�� <br />76 D3 <br />Phone <br />O <br />/�� <br />Confracl Price of lNork <br />s��-�Ns - <br />Contact Person (Plan Review) <br />I lmreby cerfify 11iat 1 have read and examined (his application and fa�c�v the sarne fo be true and <br />correct. All provisions o//aws and ordinances govemmg flus type o(v�odc will be completed <br />r;hether specdied herein or noL The granting of a pemul does not resume to give authonty lo <br />violate or cancel fhe provisions olany other state orfocallaw reguPting construc6on or lhe <br />per(omiance o(conshuc(ion. That 1 �m aufhorized by the o�vner o/thisp ropeRy fo perfo�m the <br />work Ior whic�h ap plication is made and 1 cornply with fhe Stafe Confractors Lavo 18.27 RCW and <br />296200 WAy� � /1 <br />�v-� 5 z � �Z <br />FEE <br />�fZvS-139 <br />