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ELE�TRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-�wvw.everettwa.org �j �j(—� 'Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM U�ZO��`DOb <br /> 2n�� Ca 16,� AU� 6� -�Uc' <br /> PROJECT ADDRESS <br /> 51{��c�,\ Nw�al�l,L(: z'1o� (;016.� A�+a'� Ew��� 11,L• Y�za{ �t2� Zszs <br /> Owner R1ail Address �� :,: ;1 Ciry State2ip Phone <br /> d�l �;•�cr�.,� � oL.i?�. <br /> k� e�►.�.� � � ` AL�,,�, NY i2zn ��B-�136 2.57Z. <br /> Tenenl M1tail Addrees City StatelZip Phone <br /> Ye�.� S��.s1uc. It�a �,,,,g.��,,�,0��• Z'vEc�„�Z (t,k �Blti�' zv6 6�r�892� <br /> Electrical Contractor Mail Address Ciry StateRip Phone <br /> 7�Li7/�S�.q�Pd' � ��{ 6��'., 00 <br /> State License Number Conlract Pnce of Work <br /> C�.�nwe�1:Citl � L <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Square Footage pf residential new conslruction,remodel or addition) <br /> �escriptionofWorkloBeDone� �-��11 \ 11�i� �'�'� �Uca�'�0•�S �eWO� z� 't�3'�'�`*'� <br /> [oc��;�� ..S /-L-k,Q �t CCTv C;. µ+� `�s /d�� �l �a� �4crss /�o;w� <br /> l��t ) <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �Op� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi/y fhet 1 have rnad end exemined this epplicetion and know the seme fo be true end � � `O�'^,O� <br /> correct. All provisions o/laws and ordinences govemmg fhis type o1 work will be complefed "� `J <br /> wh,ether specified herein or not The grenling o/e permR does not resume to give authonty to <br /> violeta or cencel!he provisions ol eny other stete or Iocel iew reguPhog construction or the <br /> peAormence o/constr ion. Thet I em eufhorized by the ownerolthis prapeRy to peAorm the <br /> work tor vhich epplicati n is made end 1 comply with fhe Sta(e Contrectors Le�v 18.27 ftCW end <br /> 296.20 WAC. �/ <br /> � � �( � C <br /> ie <br />