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ELECTRICAL PERMIT APPLICATION <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 ? " ��� 3 <br /> E/ 30�--�"I <br /> '7030 C�rsniJ �� __ <br /> PROJECT ADDRESS <br /> �o,� C7 !✓� % -'�,�;�> cu< <� .� R � � ,�� � f1 9S�7o3 ya.f•6y0;�� D <br /> , <br /> Owne Mail Address Cily Stete2ip Phone <br /> Tenant Ma�l Address City StateiZip Phone <br /> �.lfi�; ��� f, � � 5�� � ��s ��yai N c'p� ,f� �d JhJI1J/�i. S �. g�a9� Sr;rS 397-96� <br /> State/Zi Phone <br /> Eledncal Conlreclor Mail Address CAy P <br /> �� � i f ES g 95 K �' Conlract Price o1 Work <br /> State I.icense Number <br /> Proposed Use of BuilAing Conlact Person (Pian Review) <br /> Square Footage(II residenlial new construction,remodel or addition) <br /> Descriplion ol Work to�e Done: �]h�0 nP C�GI'� � JIIONG A� �i--G At?!'v �' 30AM�__ <br /> I <br /> �� NOTE: WIRING IN NON-DWELLINGS IS R[�UIRED TO FEE <br /> I BE IN RACEWAYS, MC OR AC CABLE. �7-�(�� <br /> U <br /> I CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> I1 hereby ccridy fhuf I havo�e�d nnd exnmined fhis npplicafian and know fhe samo fo bo fnio nnd � � � !� � <br /> cunecf. AO pmvisions o/laws nnAordinmices govomm,q tbis typo o/work will Go comple�ed =-��.> �L -Uv� <br /> whclhr,r specilieA herein ornoL 7ho y�enling ol a pemut doos nof rosume lo givo auB�onty fo <br /> vwlafo or cnncel fho �rovisions ol ony ofher sfale orlocul lnw ieguPafing consWchon or Iho <br /> pcAormvice ol conslruclion. Thaf 1 am aulhanzed Gy the owner ol this�ropeAy fo pedorm Iho <br /> wo�k Por which npplicnlion is mndo nnd I comply wifh fho Sfnto Conhac(ors Lnw 18.27 RCW nnd <br /> 296.200 WAC. <br /> / � <br /> / �f"v <br /> Signature e <br />