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ELECTRiCAL PERMIT' APPLICATION <br />CITY dF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425•257-8810 - FAX 425-257-8857 - vnvw.everetbNa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />l4b � S� �., E zE� I✓� �f �� l.� n.� <br />PROJECT ADDRESS <br />Oemer M11ail Address Ciry <br />a-u-�3 <br />�� 3�i -�6 y <br />StalelZip <br />Phane <br />(�Pcrz `� C; i'�., <br />TenaN Mailnddress Gry StatMZip —7 Phone <br />�%4 z E���+(�t�$ iI-��.'� ',�' � (z <br />�R�c�= << SCc,�, �1tL-� ro/zs �ti� ��M�t�s W Il 9`jo2o 2�-Y9b-3S <br />EledricalConiractor FAadAddress Cny S�a�e2p Phone <br />k��1Ci FS� `i 6 S C� <br />Slafe License Number <br />Proposed Use <br />Square foetage pf residenlial ne�a construct�on, remodel or addition) <br />Descriplion o( VVork �o Be Done: ��`-� 57/}- �'�-- Z-- <br />�4 7a � — <br />Cuniract Price of'Nark <br />�N 1'7R/��U <br />Contact Person (Pian Revie���) <br />Lc,r�S <br />-�-��1 '00 <br />NOTE: WIRING IN NON-DWELLINGS IS R[QUIflED TO fE[ <br />f3E IN RACEWAYS, MC OR AC CABLL . r <br />�/� �� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I heieGy certiP� Ihat I have iead and eramined (his applicafiyn and knoiv fhe same (o be fn�e and <br />coRect. All piovisions o//aws and ordinances yoveming fh�s type ol �vo�k will be completed <br />whefl�er spea�ed he�ein ornoL The gian(ing oI a perrmf does nol resume (o give avUionty fo <br />violate or cancel fhe provisions ol any o!hersfa(e orlocal/a�v reguPfing conslruclion or (he <br />oerformance ol construc6on. That ! am aulhonzed by the owne� o/ fhisp ropeRy (o perlorm fhe <br />worl.� /or ��ihich applicafion is n�ade and I compty u�ilh (he S!ate Confrac(ors La�v 18.?.7 RCW and <br />.,�,t-4-- �� ��i 1l �- <br />--- ------- Dalc -- <br />