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� <br /> ELECTRICAL PERMlT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �_� a <br /> 3200 CEDAR STREET, EVERETT, WA 98201 (.�� a- <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �- ��6_�5� <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> �I U Z �(�A-�l �V� 61���in�l - <br /> PROJECT ADDRESS <br /> 3 60�z�s74�j 7 <br /> Owne� � Mail Address Cily Stale2ip Phona <br /> V aCr,�� <br /> Tenant MailAddress City Stele2ip Phone <br /> Sdy-t�-Zr�T�I��.�l�cl�✓��c LLG ��74v$vuf,9-N8�1� 111T�t��� W�1sz73 <br /> Elecirical Contractor Mail Address Cdy Slate2ip Phone <br /> �bt�.Lt�l.i.g 9G�k 7 7DoOo? <br /> 3�4'��? <br /> State License Number Contracl Price of Work <br /> Propos�ed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new conslruction, remodel or addilion) <br /> Descriplion oi Work lo Be Done: ��G���� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �OC� <br /> �J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y that 1 have read and examined this application and know fhe same to be frue and ��� � � c <br /> co�ct. All provisions o/laws and ortiinances goveming fhis type olwoik will be completed � J� <br /> whetherspecified herein ornot. The granting o/a permit does nof presume fo give authority to <br /> violafeorcancelthe pmvisionsolanyotherstnteorlocallawregulatingconstructionorfhe <br /> peAonnance o onstruction. Thaf 1 am authorized by the owner ol thisproperty to per/orm fhe <br /> work for whic a�plication is made and 1 comply with the Sfafe Contrac(ors Law 18.27 RCW and <br /> 296.20 W . <br /> __;. 6 �� ��L <br /> Signalure eta <br />