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-1 - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY Of EVERETT F'ERMIT 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 6 - a�-�z <br /> F�zo6-l�7 <br /> a 9-�� ,Q--��s A-re <br /> PROJECT ADDRESS <br /> c,�,4-�mn.�.l z,�ru A�a-v� •t c���—n w�- yS3 �3 <br /> pW�e�� MailAddress Ciry State/Zip Phone <br /> ��A <br /> Tenant Mail Address Ciry State/Lp Phone <br /> �D�t-2.c�-�c_ ���c�1! lOo3 ��',��.�-` wl�- G�D�I '-F�5—V8� -SItP.> <br /> Eledrical Contractor Maii Address Ciry State/Zip Phone <br /> "�c';�c—L��P P� Y> � TS a �D,`- <br /> State License Number Contrad Price o(Work <br /> �`_�` f�1�.a.�� 'I��--or�.� <br /> Proposed Use of Building Contad Person (Plan Review) <br /> Square Footage(If residential new construction,remodel or addition) <br /> Description o/Work fo Be Done: '�S�c�—t�-o`� '(Z� �"� " � C����� �Jt��1C.� _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREC TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� <br /> CITY OF EVERETT LOCAL SALE$TAX CODE IS 3105 <br /> I hereby certily thaf 1 have read and examined this applicatlon and know the same to 6e tiue and �'�O/_ _ I'7� <br /> correct. All provis�ons o/laws and ord�nances goveming this type o/work will be completed lQ li . <br /> whether speci(ed herein or not. The grenfing o(a permit does not rasume to g'rve authority to <br /> violate or cancel fhe provisions ol any other sfate or local law reguPfing constroction or fhe <br /> peAormance o/construction. That I am authorized 6y the owrrer o/this proPerty ro Penorm me <br /> work/or which application is made and I comply wifh the State Conhac(ors Law 18.27 RCW and <br /> 296200 WAC. ', <br /> �c ,����5'�/.P � �—� `/ �, <br /> .. � iature �� I� <br />