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EL.ECTRICAL PERMIT /�PpLICATIUN <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� I(001 �C il�,�����-f2 t-. 1�G.t�� �.�`� <br />, PROJECT ADDRESS <br />C,o(��,h.� � .�;asc�lc� .�oBrnc-��1o9�� ���� Ah-fi��o Tx �g2"7�1 <br />ONner lda�lFdaress Gty Sl�fe�Z�p Pncne <br />�W�\ �-0 � <br />� Tenanl �dadAdaress C�ty SlatelZip Pncne <br />i-•S �I2�� tJ�C I^15�=` S� �Ge v,�vt- �A i�a2.$ <br />Etedncal Conirador 'dail Adtlress <br />(�Y('� � S I � 2� f?� l•� <br />State License Number <br />Prpposed Use ol Bwld�ng <br />ootage (If residential new conslruc6on, remotlel or addd�on) <br />C ty <br />StatelZip <br />1S�°= <br />Coniract Pr�cc of Work <br />�ntn�a l��ev� <br />C no tad Person (Pian Review) <br />PnGne <br />DescnpAon of Work to 8e Done� � 00 �- u�? P �.0 C�Y i C ��i n� L� <br />NOTE WIRING IN NON-DWELLINGS IS RE4UIRED TO FEE <br />BE IN RACEWAYS. MC OR AC CABLE . (� <br />�— <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hr.reby certdy fhaf I have ruad and oram�ned fhis opplir,a6on antl know Ihc sante lo Ge true and � I�O � Y, Q� <br />correcf All prowsions o/ laws and oNmances govemmg fhis lype o! wo�h wdl Ae cornpleted � CJC.� <br />whelhe: .,,�eci6ed ne�em or not The yranlmg ol,� pemid does nol resume !o grve aulhority (o <br />vinlafe or cancel the provisron; ol any ofner sfafe o� local la�v re9uPbng mnsfruchon o� fhe <br />peAo�mance o/ consl��refion That I am authonzed by fhe mvner ol fhis property (o peAomi Ihe <br />�rork lor which applicabon is madc and I comply wilh fhe Sfatc Conhac(ors Law 78 27 RC W and <br />296.200 WAC. .. <br />