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i. — --�— - - -----� ----- —_-- � <br /> ' ELECTRICAL PERMIT APPLICATION � <br /> ' CITY OF EVERETT PERMIT SERVICES <br /> I 3200 CEDAR STREET, EVERETT, WA 98201 � �4 —� Z <br /> ' 425-257-8810 - FAX 425-257-8857 -www.everettwa.o�9 �� Za���Z� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , L `� � i_ � � � P � c����e�tr- �9zc�3 <br /> , PROJECT ADDRESS <br /> I <br /> —�– p L��/c.�'3'Z,U�/7– Ltifi g'�Zo2 <br /> I� �/�ti �� ,L�ll, ',Y � 7zZ- 3� � i– – �- State/Zip Phone <br /> Mail Address C�ty (�, <br /> � Owner a�� . '�c�(� — I�OCa <br /> � State/Zip Phone <br /> � Mai!Adtlress Ciry <br /> II <br /> Tenant <br /> IIi �✓ �-r�`— �ity StatelZip Phone <br /> Electrical Contracto� Maii Address <br /> �' Contract Price of Work <br /> State License Number <br /> �. Contact Person (P�an Review) <br /> I Proposed Use of Building I <br /> Square Footage Qf residential new consiruction, remodel or addition) <br /> � � �ti� t ,� �,��9-I u u �-r�Gs- �=�uS� <br /> �. Description of Work to Be Done: (�(�--� � � � �''t �I <br /> � � C_S� <br /> — � � <br /> FEE I <br /> NOTE: WIRING IN NON-DWFLLINGS IS REQUIRED TO I <br /> BE IN RACEWAYS, MC OR AC CABLE. i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 , � I <br /> i hereby certi/y that I have�ead and ezamined this application and know the same to be fn�e and ���� � �`�` I , <br /> correct. All provisions ol laws and ordmances goveming lhis type ol work will be completed I <br /> whether spe.i6ed herein or not. The granling o/a permd does no�presume to give a;dhonty to <br /> violate or cancel the prov�sions of any otner state or local lav.�regulat�ng construdion or the <br /> peAo�nance o(constru�:tion. That I am authonzed by the owner o/this property to peAorm th,e I <br /> �NoAc lor which applrcation�s made and 1 comply wrth the State Contracfors Law 18.27 RCW and <br /> � 296.200 WAC. <br /> � , �� � <br /> ate I <br /> -- ignature <br /> I <br />