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-- --'� -� -- <br /> i <br /> ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF EVEREI'T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA °8201 <br /> 47_5-257-8810 - FAX 425-257-8857 —www.everettwa.org I"�� �3 <br /> APPLICATIONS ARE ACCEPTED F'ROM 8 AM TO 4 P�N �I3O � 'OO� <br /> /�1� 7�'-� Si- <br /> J <br /> PROJECT ADDRESS <br /> �r-r� N� I��� �7��s; �����;�,� - 9�z�� qs��y>3r's <br /> OWner MailAddress City State/Zip Phone <br /> Tenan� vr�� Mail Address Ciry SlatelZip Phone <br /> Fl�'SrC�4l�,E�'-�cn�i� !yz,G a�'��5'.�� � ��;'�t -9�1 yis= ,�8'-7E��.� <br /> F_IeciricalConiractor MailAddress City SlalelZip Phone <br /> ���' .,_ <br /> �i25TCF�y7f,C L <br /> State License Number Coniract Price of Work <br /> /y'i+'�v`�lll�/� ��The �ra�c�l co��l�� rSi�7"T l�=�N � <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> ti�J� <br /> Square Footage (If residen�ial new conslruction, remodel or addition) <br /> Description of Work lo Be Done; /'����J✓ CyC�SI./J4� LtU�� ���!�'��� 1 '��U��� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE . cj( <br /> � � � � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ce�tily that I have read and examined this application and kno�a�the same to be tn�e and <br /> correcf. All p�ov�sinns o(/a�vs and ordinances yovemmg fhis type olu�oik will be completed r CjI _ ��) � <br /> �a�he(herspecified herein ornoL The granting ofa permit does not presume to yive autl�onty fo �� V <br /> violate or cancel the provisions of any otherstate or localla�^+regulating consfnrc(ien or(he � <br /> perfo�mance o(consWction. Tha!I am authoiized by(he owner olfhis property to peAomi(he <br /> work lor which application is made and 1 comply wifh fhe Stafe Con(racbrs Law 18.27 RCW and <br /> 296.200 WAC:__ <br /> C- , <br /> ,��-�/ �.�nf_� I- 7 �i 3 <br /> nature Date <br /> z'h.Y .' _ � . � . . � . , . � <br />-�_ •'�> -u.�" __ _ <br />