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ELECTRIC�4L PERMIT APPLICATION <br /> ClTY OF EVERETT PERMIT �ERVICES <br /> 3200 CEDAR STREET, EVERETT, V�'A 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wwuv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �4 ���� �2 <br /> PROJECT ADDRESS <br /> (� � a�/1'1�S.c�� �+ -� �A �2- `��Tf �''�r 91b'-375 <br /> Owne� Mail Address <br /> �i�Y State2ip Phone <br /> / <br /> / <br /> Tenanl �4ail Address <br /> ��h, SlatelZip Phone <br /> ��7 ,� ,� �n �� �3 <br /> � o,�q�� � ��c� �..�� � e-�-Po e��y� - � <br /> �v�"���N �"' " ' " ' State2ip Phone <br /> EleclricalContractor MailAddress �'�Y <br /> K� , �� ' " Conirect Price of Work <br /> State License Number <br /> *�"J� �€f��' Contact Person (Plan Review) <br /> Proposed Use of Building <br /> Square Footage (If residenlial new construction, remodel or addition) <br /> Description of Work to Be Done: l"*�1 � �H C� " � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certify that 1 have read and exemined this application and know fhe same to be true and �I�(D ��(� <br /> coirect. All provisions of laws and ordinances goveming fhis type ol worlc will be.completed <br /> whether speafied herein ornot. The granting o/a permit does nofp resume to give authority to <br /> violafe or cancel the provfsions o/any other stafe orlocallaw regulatiny construction or the <br /> performance e(construc ' n. That 1 am aufhonzed by the ownsr o/fhis property to pedorm fhe <br /> 296 200 WAC&ppl�c ' is mad and I compty wifh fhe State Confrac(ors Law 18.27 RCW and <br /> � I �� <br /> Signalure -� Dala <br />