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-- -� � ---�- -- -i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMI�' SERVICES <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 ' v �O _ �2 <br /> 425-257-8810 - FAX 425-257-8857 —v�nvw.everettwa.org , J <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /.3/ ff �il.aA�,�,► y 9�.� <br /> PROJECTADDRESS <br /> s�i✓�B�iRNNN GARZAV �3�� �,T,,,v�µ� �✓e,� !,,/,q zv -.�3v:so <br /> Owner Nlaii Address C�ry Slate/Z�p Phone <br /> Tenant Mail Address City StatelZ�p Phone <br /> 0.�� �� Si�e� I.3o�Z ..ue/r1e�� �s-rBMree �.✓.� . -��'��sL 36a 7�.-,G13� <br /> EleciricalConlrador MailAddress Cdy Slate/Zip Phone <br /> a/f.o���'- c�,r'�- . <br /> State Llcense Number Contract Price o(Work <br /> ./�-�S� <br /> Proposed Use of Bmid�ng Contact Persen (Plan R=view) I <br /> Square Footage (It residential new wnstruclion,remodel or addllion) <br /> Descriplion o(Work to Be Oone: ��.�d CJ1if�� �J , �"��-�/ �y / <br /> NOT[: WIRING IN NON-DWLLLINGS IS R[�UIRC-D TO • FEE <br /> D[ IN RACEWAYS, MC OR AC CABLE. �D O'� <br /> r � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I herrby certi/y(hat 1 have mad anJ examined(his applicahon and knorv the same fo be Irue and <br /> corrnct. All provisions o(laws and ordinances govemmq tlris type o/�rmk wdl be cornplefed I �y,0 � <br /> whefher specified hercin ornoL The granting o/a pemut does not presume to glve authonly fo / l ( � f � <br /> v�ola(e orcancel7he provisions olany others(afe orlocal la�v�egulafing cons(niclion orthe <br /> pedomrance ol consf�uction. T7iat I am aufhonzed by Ihe o�vnero/(his properfy fo pednrm the I <br /> �vork lor wluclr application is made and I compty�vi(h Ihe Stafe CoMrac(ors Lnw 1827 RCW and <br /> 2962001NAC. <br /> - ��--- � �3�//3 I <br /> -- �y re � Dale � I <br /> ___ --_ __—_..___ .— __.—_.—__--.I <br />