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� � <br /> _ - - --� <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF �u�RFTT PERMIT S�RVICES <br /> 3200 CEDr1R STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX 425-257-8857 —v,nvw.everettwa.org � a --07—/Z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (_�12�2�T��—�j <br /> i <br /> �933 cv�a�, �v�'�rr- 9 s2 or <br /> PROJCCTADDRESS ¢�� <br /> � zs q � <br /> ������-� ��..� Es�rr�r� �azGT ���- 98ao� �4c� <br /> Owner G9a�l Address Gty SlatelLp Phone <br /> I <br /> I <br /> Ter,ant �1ail Address City Slale2�p Phcne <br /> -�`T.s-� <br /> ��r� �-�� �o t�x z9cr� �Es.�-er-r v-�uF- `i82-13 asz-443 - <br /> EleCtricalCoMrac�or MailAddress Gly StateiZip Pccne <br /> q,iwn i��..z�c� 95� "� <br /> Slate License Number Conlracl Pnce of Work <br /> f�E$i r,LN�GW7V <br /> Proposed Use of�udding Conlact Person (Plan Review) <br /> Square Footage(If resident�al new conslruction,remodel or addition) <br /> [)escription at Work Io Be Done: �C - (�t�� �i�� Sw,P/�5SrCT(J f�SUp <br /> (�l H.U�.�S <br /> NOTE: WIRING IN NON-�WEILINGS IS NEQUIREU TO FE[ <br /> BE IN RACEWAYS, MC OR AC CADL[. � <br /> 7� <br /> CITY OF EVEl2E7T IOCAL SALES TAX CODE IS 3705 <br /> I hem.by ceRity fhat I have read and examined fhis appl�ca6on and kno�v�he smne to Ge tnm and <br /> ccnecL All provisions o//au-s anAordinances govemmg this fype of�vork�rrll be completed <br /> �vhelherspea(ied hemin ornoL The granting ol a permd does nof �esume to give authonty(o <br /> violate or cancel!he provisiens ol any ofher state or local laiv reguPfmg consfruclion or fhe <br /> peAonnance of construction. Thaf 1 am au�honzed by(f�e on�ner o!lhrs ropeRy fo peAomi Ihn <br /> �vork(or a�hich appl�cal�on is made and I comp�y n ifh the S�ate Con(racPrs Law 78.27 RCV✓and <br /> ?96 200 WAC. <br /> �J�------ ,�/� / , � <br /> Signatwe Date <br />