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_ _ _ _._ ._ __ _ _ __ . <br /> ---- ---------- - <br /> � <br /> I <br /> � ELECTRICAL PERMIT aPPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 3 _ s- � 3 <br /> 425-257-8810 - FAX 425-257•8857-www.everettwa.org �/� D 3 `D� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � <br /> � �' , n;J rr <br /> PR JECTADDRESS <br /> �/'/ i". � r �rT�� ✓ i�.S r ., <br /> Owner Meil Address City State2ip Phone <br /> Tenanl Mail Address City Slale/Zip Phone <br /> � � r f� ' � <br /> . _ �� �� � <br /> EleciricalContractor � MailAddress Ciry Stete2ip Phone I <br /> � �� � � r �X�I� I �� � ' <br /> , � _ . <br /> Slate License Number Coniracl Price oi Work <br /> I <br /> Proposed Use of Ouilding Contacl Person (Plan Review) , <br /> � <br /> I <br /> Square Footage Qf residential new conslruclion, remodel or addition) <br /> I � / " , /� L 1� <br /> Description of Work to Oe Dono: (� i' Y .� � �% � � �� � �� n "✓ ��� Y — I� <br /> I �' -�� -� /� /�"1 �1/Y''� � 7 i YV � r w <br /> � I <br /> I - I <br /> I i <br /> I NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> ' f3E IN RACEWAYS, MC OR AC CAE3LE . (� !. �.�� <br /> �i <br /> � qTY nF EVERETT LOCAL SALES TAX CODE IS J105 <br /> I I hrreny certdy;hat!havo rr,�d nnd uxaminoAthls��pplir,ntion and kno�v the smno to bo 6uo end I '��/� !� _0 7� / <br /> Icnnecf Au provisions ollnws and ord�n.tnces governmg fhis typo o/work �vill be cornpleted L� �' � <br /> �rhe(hcr speciGed he�cin or nof. ihe gran6ng o/a penrnf Aaes not resume fo givo auflionty fo <br /> I violafe or cru�cel fhe/�rovisions oI�ny other slnlo or local low ro�uPting construcfion or fhe <br /> � pe�{omrance a/cons7nic(ion. Thaf 1 nrn aufhorized by the owne�o/this properly to perlonn fhe <br /> �vork lor which t�pplicntion is nmde anAl camply wilh(ho Stnto Confrac�ors Law 18.27 RCW nnd <br /> i 296200 WAC. <br /> � � � � � � , � � <br /> I �..�-�.- �����_y.. , � <br /> �I - � Signature Dat� <br /> � .. .--� --- --.. __ . . <br /> - . ._. _.__._ _ - .-_ .__ - . _ . . . . .. <br />