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a _�- <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />32C0 CEDAR STREET, EVERETT. WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www everettwa org y`��_ �� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � Zp7,C�S <br />� So(� �o I by A�v� �e� (,�� �8203 <br />PROJECTADDRESS <br />lenant <br />' Qwv�er- <br />IElectrical Contractor <br />c,tL�wl�;.�i � � � � � <br />fJad AtltlresS <br />Ma�l AOCres; <br />!dad AOdress <br />State L �cense Number <br />� �es�����e <br />Proposed Use ol Ouilding <br />I Squaie Footage pf residenNal new conslruclion, remodel or addihon) <br />I .-, 1 ! <br />f)escnp6on of Wo�k to De Done: <br />nn �. i_� n <br />I <br />NOTE WIRING IN NON-DWEI_LINGS IS R[QUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />Cny <br />Crty <br />C�ry <br />) �— <br />state2�p <br />Slate/Z�p <br />Slate2�p <br />1�✓ ^ <br />Contrad Pnce of Work <br />Contact Person (Plan Rewew) <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />! hereby certr/y fhaf I have iead and exammed fh�s a��phcahon and know !he same fo be 6ue and <br />conecC All provisions ollaws arrd ordmances govemrng fhrs type ol viork wdl be cempleled <br />whether specrfied Irerein or noL �The granling ol a pem�d does not presume fo yrve a�dhonty to <br />violate or cance! the provrsron� o! any other state or local law �egulatrng consfruc6on or fhe <br />peAormance ol conslrvchon That I am authonzed hy the ownBr 0/ Ihis property fo perlorm fhe <br />work lor n•hrch applrcaGon is made and I compty vnfh the Sfale Conlra�(ors l. aw 18 27 RCW and <br />296 200 WAC _ <br />��1�5��� 7, <br />�u��6� <br />Anc�c <br />Pnone <br />P�o�e <br />o !� <br />FE[ <br />50"0 <br />�Izo�- oZ5 <br />� <br />