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( <br /> E�ECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 S `-a�`��Z <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �����D� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> l� ��2� �a�e1�(lQ�- leYY4�r'� Z.�G �q� 3��'k' <br /> PROJECT ADDRESS <br /> C���N 6/0� 7qr�c ,oL /�� dN���'l� r,U� ��Z7� <br /> Owne� MailAddress City StalelZip Phone <br /> Tenant MailAddress City StalelZip Phone <br /> `��v ' <br /> EleclricalContraclor MailAddress City Ste�elZip Phone <br /> State License Number Coniract Price of Work <br /> Sr� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residenlial new construction, remodel or addition) <br /> //� n Y ne1(/ ,�4cuzzi <br /> Descriplion of Work to Be Done: ��! �/ � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby certily that 1 have read and examined this applicafion and know the same to be true and <br /> correct. All provisions o/laws and ordinances goveming fhis type o(work will be completed �`�� ^ � I <br /> whetherspecified herein ornot. The granting o/a permit does not presume to give aufhonty to I � <br /> violate orcancel fhe provisions of any otherstate orlocallaw regulafing conshucfion orthe <br /> performance o/construction. That 1 am authonzed by the owner o/fhisproperty to pe�fom�the <br /> work for which applicafion is made and I comply with the State Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /�99 �, 11 � / Z <br /> ` Si9�a���� Ga�e <br />