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� �` ,��809 <br /> ELECTRICAL PERMIT APPLICATI�DN <br /> CITY OF EVERFTT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � „a7—I Z <br /> 425-257-8810 - FAX 425-257-8857–www.everettwa.org <br /> (,� /20`�7�-I 5 Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��7 C��d,� �v��c�c b �'�. sv,7� � e � <br /> I PROJECT ADDRESS <br /> I' Ownef Mail Address Cily StalelZip Pnone <br /> � Key /�a ik <br /> Tenant Mali Atldress Gry Stale2�p Phone <br /> i�l/�c� i,����tiAi7v�� �s��s��.c���7X <, ,��m .�r�, �t���r1� y.z����-.zE j <br /> ElectricaiContracto� M11ailAddress Ciry SlateZp Phone <br /> I lY' � C;, <br /> , i,U�CS T 1 i 9i,2�I/ . <br /> ' State Liwnse Number Contract Pnce of Work <br /> �K/1)G /1Q/YJi.� a •��,�ia�r�',— <br /> � Proposed 'Jse oF Building Contact Person (Plan Review) <br /> 'I z7ov s,;.-�T <br /> �� Square Foota9e Qf resitl tial new wnstruchon,remodel or addiUon) <br /> II Description of Work to ee Done: �1�7 UCkJ3',�C� ��v/JG Co ili�'LGt–S Fv/t �/) 114L> � C.2 L_ <br /> I ��I�.i�.sA �� I <br /> ! <br /> I NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN ftACEVJAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I Imreby certily Ihaf 1 have read and examined this application and kno�v the same to be true 2nd C�a� _ � 5a <br /> ' cormcl. All provisions o/laws and adinances govemmg flus type o/�vork will be completed <br /> � ��,hether soea�ied herein or not. The granfing o(a pennrt does nat presume to g�ve authority to <br /> violate or cancel tho provisions of any other state or local law regulating consfruc6on or the <br /> peAormanco olconstrucGon. 7Nat!am authorized by fhe o�vner ollhis property fo perfonn fhe <br /> work(or which application is made and 1 compty�rdh fhe Sfafe Contractors La�v 18.27 RCW and <br /> 29620J WAC. <br /> ' ���( ^-�Y 9 . � �. �Z - - <br /> itJnaWre Dale <br /> I—.. _._—_.—_—_—_ <br />