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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �� u_r2 <br />3200 CEDAR STREET, EVERETT, WA 98201 I <br />425-257-8R10 - FAX 425-257-8857 —www.evereltwa.org L � -z � —013 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />G ��) , J 1. ,; ; (:'; ,. I/ i'/� �✓ ,.. � V . Y f �� <br />i � <br />PROJECT ADDRESS <br />Owner <br />i � <br />���"=��' � <br />Tenant <br />MailAddress City <br />? /�� �� G.i G ��'fc f�, <br />Mail Address <br />'/l�� %lFr�� �f /l�r �I�! f `�l�r� ���rC , <br />EleclricalContracto� MailAddress <br />� � <br />L ��l/' f �' �' 'Y ,- % � < <br />Slale License Number <br />`�i ' = � � ;- J�.' �.�. <br />Proposed Use of Building <br />/ <br />� ^�,. <br />Square Footage Qf residenlial new consirucGon, remodel or addihon) <br />i <br />Description of Wcrrt ro Be Done: ��(��r�� C� J c u <br />-� � � ,., � �;�s7� �� 1�_.� C', <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX COOE IS 3105 <br />I hereby certity thaf I have rcad and examined Ihis applrc <br />������� au nmvisrans ofla�vs and ordinances goveming. <br />�vv vvn�. / � <br />-� . <br />� <br />and <br />City <br />,�, <br />Ci�y <br />�� <br />7l� <br />to <br />�7-.'-/-� <br />Slale/Zip <br />%'�� e`� �d'�c <br />StatelZip <br />// 7�;'Pi <br />Stafe/Zip <br />Z,�co <br />Contr ci Prico of Work <br />Sl/iuikn C�/Cr✓n.� <br />Conlact Person (Plan Reviev�) <br />'vc�:,'� <br />and <br />�fo <br />he <br />and <br />Phane <br />Phone <br />�_�, <br />Phone <br />/ / <br />P <br />T - � L\ G_ � � <br />FEE <br />�02 -SO <br />��� <br />