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i <br /> � <br /> I <br /> � ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 r � � <br /> 425-257-8810 - FAX 425-257-8857 —�ww.everetlwa.org �/,��533Z <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM ' <br /> i I <br /> PROJECT ADDRESS <br /> - .. , , <br /> ,-- i� '—_ "`— C ry SlatelLp __ phone <br /> Owner � tAailAddress <br /> ___.------ <br /> ----- Ciry Slatel'L�p Phone <br /> Tenant n1a�l Addiess <br /> ,i., +. , <br /> ./�" Y ' ��� i / � <br /> � . ' ' � _' � / - �` ' . <br /> , ���y SlatelZiF Phone <br /> Eledrical Contractor Mail Address <br /> �{�l - - <br /> • . ;, <br /> � — Ccnliact Prica ot'J�b�k <br /> State License Number <br /> � — Contact Ferson (P:an Revievi) <br /> Proposed Usz of Building I <br /> li Square Footage(If residenlial new construction, remodel or adddion) <br /> I , r _�. . , �, 1_ ;� <br /> Descriplian of Work�o De Done: ��� � � �� <br /> r � <br /> I I <br /> --- — ------- II <br /> — -- I <br /> FEE I <br /> NOTE� WIRING IN NON-0WELI.INGS IS R[�UIRED TO , � <br /> Bf_ IN RACEWAYS, MC OR AC (.Af3LE . � j .��� �-' � <br /> I <br /> CITY OI' EVERETT LOCAL SALES TAX CODE IS J105 I <br /> � 1 hcinb��certily fhql I hnve re�3d and uxamined fhfs ��p/:lica(ion und knu��,�flia same fo hr, frue�nd J- � � � � r� <br /> I �,:ii�tl�crl��'ci/iuJ her iir ornof�r�ll cr��rr�ntmy o/n�Icnn f clacs no.'/���esimic fo yi�ie aufhoiily(o <br /> �', ; ) ' - V -'���. <br /> �.n�la(c orcanced lh�`navisions o(��ny ofharstnte orlocal law regulafing consfne:fion or tho <br /> pe�/onndince o/cons(rucfion. Thet 1 am aufhonzed by fho o�vnei ol this��opeA} to perforrn fho <br /> .,nrk(nr wliich npplicafion is ni�do t�nd 1 comply wifh(ho Sfafo Conhacfois Law 18.27 RLW and <br /> ;9G 200 WAC. <br /> � , ,.� - -----��-----�� I <br /> _ _— — <br /> _'_— �.�n�iine —____ -. <br /> . ._..__—.._ Uaio <br />