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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org ��� � ����' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �-J �Z����� J <br /> ,�Q7� �/�i/j Gfj�o� �t//� ��� �fXi� ���� <br /> PROJECT ADDRESS <br /> H �V Jl,�� � P�O✓�-N-.-�/ Tbt 4!�' �1 � �./.e.� u-9/ 9�Zc�s <br /> � <br /> Owner �MailAddress City S�alelZip Phone <br /> �I'��Z 5'3—��1 <br /> Tenant MailAddress City SlatelZip Phone <br /> U�;re 1�Is , �- �— 7�6� �' S� l� � �Lss��,.t1.� l,�/�' 9�az�- <br /> Elec�rical C�r Mad Addre>s Cil� StatelZip Phone <br /> ���� w i/���� �s�> <br /> Stale License Number Contract Price of Work <br /> Proposed Use o(Building Conlact Person (Plan Review) <br /> Square Foolage pt residenlial new construction, remodel or addilion) <br /> Description of Work to Be Done: 'f�� �-- 1 l�w �P�P Q��"1/��e� <br /> —1 <br /> od� c <br /> NOTE: WIRING IN NON•DWEI_LINGS IS REQUIRED TO F[[ <br /> BE IN RAC[WAYS, MC OR AC CABL[ . �� � <br /> � <br /> CITY OF EVERET"f LOCAL SALES TAX CODE IS 3105 <br /> I hereby certifylhaf 1 have read and examined fhis applica(ion and know fhe same lo Ue fn�e and � <br /> cormct. All provisions olla�is and ordinances govemmg(his type ol work will Ge cornplefed � I �I I ' I 3 <br /> whetherspcafied herain ornoL The r��anfing o(a permd does nof uesume to give aulhonty lo � <br /> violafe or cancel fhe rovisrons oI any o(hersfafe orlocallaw regulafing conshuction or Ihe <br /> peAormance o/ca�s ction. That!am atdhorized by fhe owner ollhrs �ropeAy lo pr.rform fhc <br /> wah for which � a(ion is made anJ I comply wilh(he S(atc Conlrac�ors Law 79.7.I RCW and <br /> 296.200 WA <br /> � V�j� 2�� _ <br /> Si�yalu� Dat <br /> ✓p <br />