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_ <br /> _ i <br /> �' ELECTRICAL PERMIT APPLICATION �, <br /> �, CITY OF EVERETT PERMIT SERVICES �' <br /> ' 3200 CEDAR STREET, EVERETT, WP� 98z01 <br /> ` 425-257-8810 - FAX 425-257-6857 -www everettwa.org <br /> II APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ` I ��(3 <br /> i <br /> C r�3�� I <br /> � '� �S b����C� ��.- II <br /> PROJECT ADDRESS �Jl/"'_" " � <br /> � <br /> ��I�K� �ti���� StatelDp Phone �i <br /> __�— Ciry � <br /> � Mail Addiess I <br /> Owner <br /> '. _..-------- 'i <br /> StatelZip Phone � <br /> c�ry yzS3K � I <br /> � Ma�l Address i <br /> T`-.-{�r'�c JL/� �`'�vu.�S •.t-�'tC �%� �(� G z^a V��-�`� �� � `{��`i Z�O�' Sv <br /> I �_ <br /> , Phone <br /> C ty StatelZ'? <br /> �� ----� Mad Address <br /> Eectrical Contractor ��n, �. <br /> � „ „ <br /> .; n SS °1�11 NS ! <br /> 1 — Contract Price of Wo�k <br /> I <br /> �, State License Number �.� ��LS 3 ��`�5 � �� <br /> ', �����c.X Con�actPerson (PlanReview) I <br /> ��I Proposed Use o(Buiiding I <br /> '� <br /> I� Square I(residential n ction, remodel or addition) I <br /> �. V f` �'� ? . ._—._ ----"---.._ . <br /> ��` � ���✓� I <br /> I ' -- —�"�' -- - <br /> Descnption of Work lo Be Done: _ �I <br /> ----- <br /> � ------- ----� --'�- _ . I <br /> ----- <br /> -- <br /> �� ------"- I <br /> _- <br /> � -�-- ---- ---�—__ <br /> --- — <br /> I - <br /> ._ ___---- _..__------"_...1 I <br /> il FEE I � <br /> I NOTE WIRING IN NON-DW�LUNGS IS REQUIRED TO -7 � I <br /> 8E IN RACEWAYS, MC OR AC CABLF . / 7 �� <br /> �II CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 _ � I <br /> I herahy r.erfify that I have read and examined Ihis app��r.ation and krww the s�3me to Ge In�e and �' �il� � I� II <br /> I v <br /> conect All provisions o��aws and����01��nr,es govemmg fhfs typ���Work will be complefo I <br /> �W olafe orPancel Ohe pro�v�io�s o/any ofhor�state�loc�l�w regu�afiny consfnir tum ohflnty fo <br /> �� ��F�I��nance o(construcflon- That I am eu:honzed hy fhe owner ol this propeitY to perlonn fhe � <br /> work 'orwhir,h app���a��°1' s rriaide �u�d 1 cornpty wl��i the SfAte Cnnfractors Lt�w 18.D RCW�nd <br /> 296.200 WA� / 'I � ' 1 � <br /> li <br /> I _ ----------.. <br /> -— <br /> _._ ___- ----"�-f7ate II <br /> .... - ��gnaiur <br /> I <br />