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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320�J CEDAR STREET, EVERETT, WA 98201 <br />42E 257-8810 - FAX 425-257-8857 - www.ev2ret!wa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />u � � / 1' ��e1'a I ��/� <br />PROJECT ADDRESS <br />�t��%1 '�- C K�f Z.I� l I �, � <br />Owner PAail Address <br />Tenant Mail Address <br />�s� {-So�r�. El«�.,t- 136/9 �✓i�k; l�-eo s <br />Elecirical Cortraclo� Mail Address <br />�v c�GTsE g Z� PS <br />Slale License Number <br />�1���`.N�' S�t,S%� ��'^�,�� <br />Proposed Use of�uilding <br />Square Footage Qf residential new construction, remodel or addition) <br />Description of Work to �e Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRGD TO <br />f3E IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Cily <br />Ciiy <br />Sh� p ' S '�3v3 <br />City <br />StalelZip <br />SlatelZip <br />��-5—�et <br />� �-�-09 �-D �.S <br />Phone <br />Phone <br />9 yU/7 <br />,��.,.L z s7�-(,/6s <br />� Phone <br />�iUvO <br />Contract Price of Work <br />Contact Person (Plan Review) <br />tt_ C_ {'� GLh'`.0 � K � �/ <br />1 hereby ce�fily fhaf I have �ead and examined t6is applicalion and know Ihc <br />conecL All provivons of/aws and ordinances goveming (hrs fype o/work w <br />wBelberspecihed heiein ornoL The granling ol a permd does no! presume <br />violale or r.ancel Ihe provisions oI any other slate or lor,al law �ecu/afing con <br />performance o/cons(ruction. Thal l ant aulhonzeAby the owne� ollhis prop <br />work /orwhich applica(ion is made and I compfy wilh Ihe Sfate (;onfrac(ors <br />296.200 WAC. , <br />��� � � r <br />: to bc kue and <br />completed <br />�e aafhonty fo <br />lion or Ihe <br />o peAorm Ihe <br />R 27 RCW and <br />FEE <br />��� <br />� 1Zo�-o � Z <br />