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E�.ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES G_ � �� _ �� <br />3200 CEDAR S'i REET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-d857—www.everettwa.org C1Z06-0�� <br />APPLICATIONS ARE ACCEPTED FROM 8 NM TO 4 PM <br />7� Z I L v��-� u� eP � <br />PROJECT ADDRESS � <br />Owner <br />r /�7I��S5 <br />Tenant <br />Mail Address <br />Mail Address <br />E�ectrical Conlractor tdail Address <br />13���do� s y73c F <br />Sfate License Number <br />F��,���� ����<« <br />Proposed Use of Bui�Jing <br />Cily <br />:�li' � G'.l <br />y ,Clly <br />Z Z ( E r`� <br />Cily <br />%(�' r%('L�' i <br />Square oolage Qf reside ti I new conslruclion, remodel or addilion) <br />Descrip�ion of Work to Be Done: <br />StatelZip <br />�,.�,�.{� <br />u.?� . 7 O 4. ? <br />StatelZip <br />State2ip <br />�'Z �% Dc� U, <br />Contract Price of Work <br />^ u�w � l IJe�('�CiC� L✓ <br />Contac��Plan Reviev�) <br />�` <br />� �.� c c � � l 9 �11 �'� � t� (��� — <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br />I hc�eby certi(y fh?t I have read <br />con�cL All provisions o(lat��s � <br />whether speci(ed herein ornot. <br />violate ar cancel the provisions <br />peilomiance o(conslru ion. T <br />�vork for which applica on is m. <br />296.200 WAC. , <br />this <br />a <br />and <br />FEE <br />ie to be tnre and � I/a � <br />� - �� <br />complefed �/ <br />'ve authonty to <br />•tion or the <br />fo perform the <br />18.27 RCW and <br />Phone <br />� <br />Phone <br />Phone <br />