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ELEC�RICAL 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 B AM TO 4 PM <br />�4a a .Sm-��/n� # �35 <br />�-rb� � � �' <br />PROJECT ADDRESS <br />Ownef <br />Mail <br />City <br />/� ` S --� Z <br />L /Zb�/'�l� <br />SH��Soo IRL;�n,�. Cr� <br />StatelZip �ZL�ZPhone <br />P�-'�y �� rti <br />Tenant � Mail Address Ciry StalelZip Phone <br />.n�_. _ nn_ ... -r ., ni� , �c�,� n ti. A% /1rn�,a...,n �.,,a 9bx7 �72� 1�,`6S- `�ZZ� <br />Electrical Contraclor Mail Address <br />I��E�urwt� qSl rus <br />Stale License Number <br />Proposed Use of Building <br />Square Foolage Qf residenlial new construction, remodel or addition) <br />Ciry <br />Slate/Zip <br />rJ � l l�D. m• <br />Conlract Price of W ork <br />Contact Person (Pian Review) <br />i9SiTm <br />Descriplion of Work to Be Done: T"iTi4Ll I y� ��H-E2ryl c�t�ta)S F'�L T�•T <br />NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that 1 have read and examined fhis application and know fhe same to be true and „/ �/ � � C/ <br />correcL All provisions o( laws and ordinances goveming this type o/ work will be cornplefed I � l�-'-) -� S J <br />whefher specilied herein or noL The granfing o/a permd does nol resume to give aulho�ity fo l.� <br />violafe or cancel the provisions olany olher sfafe or IocallawreguPting con5fruc0on or the <br />perlamance o/ construcbon. Thaf I am aulhorized by Ihe owner o/ fhis property fo perfomi fhe <br />work lor which applicafion is made and 1 comply wifh the Stafe Contracfors Law 1827 RCW and <br />29ti.200 WAC. <br />� �. <br />���� � � <br />