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, t, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi�, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �//C���Z <br /> ����� -033 <br /> a �p —��,,�o.,rds ��-� <br /> PROJECT ADDRESS <br /> � ���4� <br /> ���1 w���- -►ao �-�.�s5 A.Tc F��� �,J+� 9&�I <br /> OWner MailAddress Ciry State/Zip Phone <br /> Tenant Mail Address Ciry Stale/Zip Phone <br /> Electrical Contractor Mail Address City StatelZip Phone <br /> Stale License Number Contracl Price of Work <br /> � � � �.�.� �5; .1.�,w�� L�.�1 G� ���,o,--L <br /> f��n.c.r S1�n Contact Person (Plan Review) <br /> Proposed Use f f3uildi <br /> �.�oo I b ded <br /> Square Footage(If sidential new conslrucli n, remodel or addition) <br /> Description of VJork to Be Done: I�nS 1-a.� l c�� � 'ti�^'�7 �f�� �' ��`�'� �~'� ��m��� <br /> ���.A.r .��c cor.��l-io,ns �,; b�s-�-�� ow.-� �P�-�io�q o.-, <br /> V ��v� `OOY COv1� a�.'C�UY� OT Ow'��7�-} C�C 4� r-�� C0.�� <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 3105 <br /> I hereby certi(y fhal I liave read and eramined this applicafion and know fbe same to be true and � l� � _ <br /> correct. All provisions oflaws and ordmances govemmg fhis type ol�varic�vill be.completed � �� <br /> whelher speci(ed heiain ornot The granting oI a penmt does notp mswno(o give aufhonty to <br /> Iviolafe orcancel tl�e provisions o/any olher sfate or local la�'✓irgulalin9 constiucfwn orthe <br /> pe�(onnance of constn�ction. That I arn autho�ized Uy the o�:ner of t0is propeAy to pedorm the <br /> work for which app/icafion is made and I comply�wfh tho SfAtc Contracfors Law 1827 RC W and <br /> � 7.96.200 WAC. <br /> I <br /> ✓J ' � �U Z�\2 . <br /> Sign Wre Date �/ <br /> T v <br />