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ELFCTRICAL PERMIT APPLICATIOn <br /> C iTY OF EVERETT QERMIT SEI�VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.e�erettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> a3 0 3 �r�� EVP�tf, W� 9�a9 I <br /> PROJECTADDRESS <br /> Owne� Mail Address Cily Stale/Zip Phone <br /> �an�a��2-�(ira�., t2esfauva�c� 1303 3r�. i�C�u �iQ 1��9 �T8'o�D / <br /> TenaN Mail Address city � S�3�e�z�P (Ya5) 334 -aYa� <br /> .(„�hi'rr'�ors� Ele�i-/L �G3a3 CTf ��S ��CE' ��� �M tate�p�� �°��/Phone <br /> ElectricalContractor MailAddress ���y (3(to) 9l3-y��� <br /> t,�H ITEcL88yD14 �a�oD <br /> Stale License Number Contract Price of Work <br /> ��es�ur _ �on.I i�lli✓t��5�_ <br /> Proposed Use of Building Contact Person ( i Review) <br /> Square Foolage(If residential new construction,remodel or addilion) <br /> Description of Work lo Be Done: �"�'""C'`�'�'"" ekl5 I 1'►'l� �f,y�,�i'L� — <br /> NOTF: WIRING IN NON-DWELLINGS IS REQUIRED TO FEF <br /> f3E IN RACEWAYS, MC OR AC CABLE. I z 2 �JO <br /> U <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I Imreby ceiti(y that 1 Dave read and examined this app,.'icafion and knnw(he same to be fn�e and � I Z� f'� � I O� <br /> r.oinrzcl. All provisions of laws and ord�nances governmg fhis type of�vork uill be completed V <br /> �vhetherspeci(ed herein ornoL The granling o!a pennd does not resurne to give au�honty to <br /> violate or cancel the provisions of any other state orlocal law r�guPting consirucfion or fhe <br /> pedamance o(consWction. That 1 am aufhonzed Uy the o�vnero(this property to peArmi fhe <br /> �voik for which application is rnade and 1 compty�a�ith tho Sta�n Contiactors Law 18.27 FCW and <br /> 296.200 WAC. <br /> � oDl�;, .,GQ� /o/is//� <br /> SignaWm � Dafe � <br />