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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.org a -a $-�3 <br /> �iaoz-i4a <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �lill� \\c�i ( :uin�� It,�;ul ISIJc. l�- I I I �rirn. \1 \ '�\'n.l <br /> PRUJECT ADDRESS <br /> I hi R� �in� ( m1 u�� I U liu� '7117 tir ittic N:� '��I'J <br /> Owne� Mail Address <br /> C�ty Stat.I p Phone <br /> � � <br /> I h� IiuunL C�nnn m� ,IIIIt N c' ��in � It I IiLp ': " I �rrrtl 1+si�e l v � Pnone <br /> Tenant Mail�Adress City <br /> \��iA. OR�IIR '_U6.6'_i.7G76 <br /> l i iJ� �1 u� tii�n \ I)i���l i� l'�xp S I`� ti I)J.ul i tit tic:rttic Pno�e <br /> Elechical ConVaclor Pdail AAArr�s �'�1' <br /> stale�Zip <br /> !���.Q i].UII <br /> I R 1UI �ltiU7Zl�-! I �v S'Z I I� Convact F ,ce ot Work <br /> Slate I.icense Number <br /> U�mu�niyur I I��IIi� <br /> ii iii . I I- i •�� r I4 � •in�� I uuu \�•( — <br /> Proposed Usc ol Building <br /> Con�acl Person (Plan Review) <br /> 'i� ,ull_._. <br /> Squarc footage(If resldential naw conslrudion,remodel or addition� <br /> I Descnplion of Work lo Be Done. l�r;idr-�i;in ��ill L•ihriratr :in�l imi dl 1 I ) in Ir I��ii•r illumin'uril numumrnt tiicn _ <br /> � <br /> �I NOTE W IRING IN NON-DWELIINGS IS REOUIRED TO FEE <br /> � I <br /> BE IN RACEWAYS. MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> corrncly�II Pro�lisinns�o(�laws.+nd o dmanrn,s 9overning fhis ryPe'of worF wdl be r.orn(IefeA �r�� —' � . 1 y�� <br /> 1 1.- <br /> whelher speu6ed hermn or nol Tho gran6ny o�a pernuf does nof vesume lo give authonfy lo �L.� <br /> violafe nr cencrsl Me provisions ol;�ny ofher slale or lor.al lew�egula6ng conshucfion nr fhe <br /> perlonnence o!conshuchon. Thal l arn aiAhonred by fhe owneer o!Ihrs properly fo per�orm Ihe <br /> woik!or wlur,h app6cefion is nrade nnd 1 ca�npty wRh the Sfate Confracfors Law 18 27 RCW:+nd <br /> ?9G 200 W�f. <br /> �� <br /> ���� , ._ ,� � '7L lf . � � � I .:II I � — <br /> �I S�gnalure ( Dau. <br />