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ELECTRIGAL PERMIT APPL.ICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 —�nnvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 r•N <br />5�`�� JC E�C�en,Mp�� wr� ��r.r�l VV1�- %�/ZC�Yi <br />PROJECT ADDRESS <br />ST�b�Eks 5�� SC���T,�„li w%u <br />OWner PAail Address <br />Tenant <br />Lq- I�I C�6��,�y Cc� <br />Electrical Contractor <br />Mail Address <br />'a3 ll�r � �;•� <br />Mail Addresc <br />�I�C,4BNCSr�Q�� <br />State License Number <br />Proposed Use of Building <br />7�0� <br />Square Footage (If residential new construclion, remodel or addition) <br />���•,� ri <br />City <br />Ciry <br />(�,�r�.t� �nIIS <br />c�ry <br />g-i u -�� <br />�i���6 <br />���/j- `%zi L _ <br />Stale/Zip Phone <br />State/Zip Phone <br />GUl� 98Zf z %Z� �h <br />Slale/Zip _ Phone <br />� Z3o� <br />CoMract Price of Work <br />Conlact Person (Plan Review) <br />Description of Work to Be Done: .l-��>t� �� �- Qa � �n ��P f 'f� EV / y r J <br />c <br />NOTE: WIfi1NG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVeRETT I.00AL SALES TAX CODE IS 3105 <br />1 here6y cerfily that 1 havo read and examined fhis applrcafion and know fhe same to be tiue and <br />correcf. All provisions of laws and ordmances goveming this type o/work will be, compl�ted <br />vohetherspecifi�d he�ein ornot The granting of a permd does nof� 2sume to grve aufhonty fo <br />violato orcancel lhe provisions of any otherstate orlocal la�v regulating construction orthe <br />pedormance of consWction. Thal1 am aufhonzed by the ovrner o(thisp roperty to pedorm Uie <br />woik for which applicafion is made and I compfy with tl�e State Confracfors Law 18.2/ RCW and <br />nnr nnn tnin� <br />FEE <br />�1 ao�'-�,� �� <br />