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ELEGTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.evereltwa.org ��ap--I Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM [,'1205--0`�1 � <br /> G �� 1 C � !, 1� `� �v r n.�.J � <br /> PROJECT ADDRESS <br /> I�ey RAN � 3300 � ����� ��N;:a�2 C� R�ZUb �3o3)3i b -Z �8 <br /> p�e� Mail Address City State(Lip Phone <br /> ILC�( I'�AN � 270'1 Co�gy ��� bvE'2�Tr wA qg7A1 <br /> Tenant Mail Address City State/Zip Phone <br /> NE�' �I Eez EL�.-�.il2�L 572`� I`f7r=� 5T5i: �J�:-2i:7T ��/f� `)SZO� CZoS.� �755 3LC 6 <br /> Eledrical ConVaCtof Mail Addrass City StalelLip Phona <br /> �.1L-w ��LE ��2•SH `25 'rJ'OC�.°o <br /> Slate License Number Contrac!Price o(Work <br /> kNtH�r�-� Ouo4� � <br /> �� Proposed Use of Building Contacl Person (Plan Review) <br /> 5 , �1 b`1 <br /> Square Foolage(It 2sidenlial new ConsWdion,remodel or addition) <br /> Description of Work to Be Done: 12�='�'��0 E L p F L X I S i i �.1 V (LL''/ (3 h N � <br /> �(OD� L Qo,��2 Rxc�Prqc��:s i� DhTr.-� y�ito.tie p�.,,� �e-rb 2co.�., 1 <br /> NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. � <br /> Z2� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3706 <br /> I hereby corfily fhat I have read and oxamined fhis applicafion anAknow the samo lo bo Wo and r <br /> cnrrocL All pmvisions o/laws and ordinances govommg this type o/woric will bo.complefod � I �OQ � "uL� fn <br /> whe(herspecified herein or noL Tbe granling of a permif does nof resume fo grvo autlwnty fo V � � <br /> violate or cancel fho provisions ol ary olhersfafo oNocal law reguPling consfruchon or the <br /> per/ormance o/cons(n�chon. That I am aulhonzed by tho owner o/fh�s pmpoAy fo pedorm fho <br /> �vork lor which applicafion is mado and I comply wifh the Slafe Confraclors Law 1827 RCW and <br /> 295.200 WAC. <br /> �jL. ' `61 Z o f 1 Z <br /> Si natuie Date <br />