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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � ��Z <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org G — <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM v ' �6—��5 <br /> `�� I 1 �c�.a ��� �SZ�.�-�c� l,��A- �� <br /> PROJECT ADDRESS <br /> c� -� 0� �r � � 1� �� �4Sk �.��m� I,JPz S�3 <br /> Ow e� ail ress City Stete2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> Dwl►�lC.� <br /> Electrical Contrado� �dail Address - City StetelZip Phone <br /> State License Number Contract Price of Work <br /> 5�� Contact Person (Plan Review) <br /> Proposed Use of Building <br /> Square Footage(If resideniial new consiruction,remodel or addition) <br /> Description of Work to Be Done: � \ x ��R �Q.���\ <br />� . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE OQD <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily that I have read and examined this application and know the same fo 6e tnre and �l�O r„ — I f � <br /> correct. All provisions o/laws and ordinances goveming this type o/work wilf 6e completed �(/ I <br /> whetherspecified herein ornot. The grenfing o/a permif does not presume to give authority fo <br /> violate or cancel the pmvisions oI any otherstafe orlocal law regulating construction or the <br /> performance o/construcfion. That 1 am aufhorized by the owner of fhisproperry to peAorm the <br /> work lor which applicafion is made and 1 comply with the Sfafe Contrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> q�,,.-� � �,_7 �� -�O • ��- <br /> Signeture e�e <br />