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EL�CTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-£i810 - FAX 425-257-8857 -www.everellwa.org �a ��� ��z <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ��Z�Z�u�j <br /> 3v15 C �/y .��c Cv<fe+f (.•�A 5 �z" � <br /> ---F <br /> PROJECT ADDRESS <br /> I ,' o ' vl C� <br /> Ownet Mail Address Gity Slale2lp Phone <br /> C ��, � ��1,,, <br /> Tenanl ail Address Cily Slale/Zip Phone <br /> M t�: �r - «�v:Z SooS 3ti� e4�� S Sa�'Hl� L.J/} S�' l3 2z6-�GL-33�1 <br /> EleGriCal Conlracl Mail Addrass City StalelZip Phone <br /> �"� 1 lNL �' 9s�Zlc� /J n6o <br /> Sla�o Licenso Number Contracl Price of Work <br /> /- ` I 1�..--/1�6-`�2�417b <br /> l <br /> Proposed Use o(Building Contacl Person (Plan Review) <br /> Squaro Footago pf residenlial new construclion,remodel or addition) �, <br /> Doscription of Work l0 6e Dono: ��nwv�✓j � cr �ii +L••"�� ��— �"'`L` "" "� I <br /> Y� /J e.�� a / I- <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ��v . � � <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I horeby ceriily Ihat 1lravo road and examined tliis applicalion and know tho same lo b�(rue and � <br /> corrocL All prov�sions ollaws anA ordinances guveming fHis lype oI work will be complefed � ( ^1 �l _ � � <br /> whefher specilied heroin nr noL The granling o!a pormd doos not�resumo lo give aufhority fo /T .�� <br /> violafa or cancel fbo�rovisions ol any ofher slafo or local law regu,afing consfruchon or Iho <br /> perlormance o(conslrucfion. Thaf 1 am au(honzed by fho owner o!(his properly fo pr,rlomt Iho <br /> work lor whir,h applicafion is mado and 1 comply wi(h the Sfalo Confractors Lr.w 78.27 RCW and <br /> 296.200 WAC. <br /> � /L� � Z-� � u � 't_ <br /> Signature Da�e <br />