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� - <br /> - __,_� <br /> - - _.� <br /> ELECTRiCAL PERMIT APPLICATION <br /> C17Y OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 7--�— 13 <br /> 425-257-8810 - FAX 425-257-8857—w�.wveverettwa.org � �30� -0 U� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _.�_,_.�---- <br /> �.— ----- <br /> I_.__.__.__ _ <br /> -----I... \�� \� ���Z,��L\L`�`�\ 1�\��� �1��� <br /> PROJECT ADDRESS <br /> � ..� �\\ti1\l-f� Phone <br /> Owner Mail Address City SlatelZip <br /> _ \ .. F �\CC�c,`�=�C,-A �'���.L� :�L �LV' '�L`�.\\ I <br /> Tenant Mail Address City State2ip Phone <br /> ���,��� C �CL� s\ � 5'iC. ��c�l 3u�—� `�.AS7 ��ll.`��i 12(� JZ�i��c�.� WA anone <br /> Electrical Conlractor htail/;ddress Cdy State2ip �9 S�cj S y <br /> �� �SVU <br /> �-L'C���c�\St�Z�`'-c'_' �tW� �JU�7SblJ �t�r���� CC• <br /> State License Number Contracl Price of N'ork <br /> /.c-�t��4�,�______. <br /> I . . ...-.-.` ' . ' - .."---- Gontact Perscn (Plar.Reviewl <br /> Proposed Use ot Building � - � � - � �� <br /> "y�`�' �• �� c�� <br /> Square Footage Q(residential new construction,remodel or addition) <br /> Description of Work to Be Done: ���-\�� `v��2-L- t" ��`1- �Q-�`)`� — t�H(L`� S`�S\`t-1�+\ <br /> � <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 8E IN RACEWAYS, MC OR AC CABLE. C ,r-�� <br /> �l� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily(hat I nave read and examined this application and know the same lo be true and � , <br /> � correcL All provisions o!laws and ordinances govermng this type o(work will be completed I � O "') 'G�1L'. <br /> whether specdied herein or not The grantmg ol a permrt docs not presume fo give authonty fo � t L <br /> violate or cancel the prov�sions ol any ofher sfate or local law regulafing construcfion or the <br /> perforn�ance o(conshuc6on. That I am aulhorized by the owner of fhis property to peAorm the <br /> worl�,7qr whmh applicatiop ' made and 1 comply with the Sfate Confractors Law 1B27 RCW and <br /> 296 200 WA/C�. ,' <br /> � Signatu�e Date <br />