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ELECTRICAL PERMIT APP'LI�A�ION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8II10 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> ��-��SI CV� � --�-•� � ✓�`� <br /> �� <br /> PROJECT ADDRESS <br /> t=� �Z�.��� �.�C—.r � �r-' �- <br /> Owner Mail Address City StatelZip Phon� <br /> Tenanl Mail Address City SlatelZip Phone <br /> �z a zzr�^�i b �� ' Z ZG ZCP U2�'�`A.gS� IL�'"'- V..1. R�u3Z <br /> EleclfiCal Contracbf Mail Address Ciry SlalelZip Phone <br /> ��,��p�ZZ�Z- <br /> State License Number Contract Price of Work <br /> Proposed Use of Building Conlact Person (Plan Revie�v) <br /> Square Footage(If residential new conslruclion, remodel or addition) <br /> Descriplion of Work;o Be Done: 1� `-�T��-` ��`'`" "� �`'�"�' <br /> i. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certi(y Ihaf I have read and examined this application and know the same fo be true and <br /> carrect. All provisions o(laws and ordinances goveming fhis type olwork wifl be completed � � �S ` � ZZ <br /> whefherspea�ed herein ornoL The granting of a pennd does not resume to give authonty to <br /> violate or cancel the provisions of any ntherslafe orlocallaw reguPting wnstruction or fhe <br /> per(ormance o(consiruction. That 1 am authonzed by the ownero(this property to perfomi Ihe <br /> work for which applicalion is made and 1 cornply wilh fhe Sta(e Conhac(ors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> e <br /> ��, <br /> � ��� <br /> ignat re Da�e <br />