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Miay. 24. 2�)12 10:27aM <br />14est Coast 6us�nes: Comm Ior. <br />t <br />1a 9h;7 �. 2/2 <br />ELECT�lCAL PERMIT APPLICATION <br />CITY OF EVF_RETT PERMIT SERVICES <br />3?DO CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX A25-2F7-8857 — w.vw.everettwa.org <br />APPLICATIONS ARE ACCEP7ED FROM S AM TO 4 Ph7 <br />U/� �" S� �V L�.CG� Mn `� ll�i0.v <br />PROJECT ADDRESS <br />Owner <br />Tennnl <br />Electrieal Cantrador <br />Mail Addre66 <br />Maii Addmss <br />Moil Addm6s <br />� tocLn .•b qzs�2 <br />Stete License Number <br />� ) f o 2n'C C0.rP_ <br />Propo Use of Buuding <br />Square ootage (I( residential new consVuclion, r¢model or adCition) <br />Descdption of Wo�k to 8e Dane: � <br />City <br />City <br />c�cy <br />S1atelLp <br />SlatelZip <br />� $ 3 �H .�a <br />Conirad Price of WoAc <br />Contact Pereon (Pian Review) <br />Phone <br />Phona <br />Phone <br />NOTE: WIRING IN NGN•DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />ClTY OF EVERETT LOCAL SALES TAX CODE IS 3706 <br />I hereby cedify that I have resd end examinQd this apnlic <br />eorrect. All provisions o/faws and oMinances goveming <br />whother specil.'ed here;n or not. The grt7nting o/ a pemu <br />violofe or canco/ tho prov!srons o/any othor sta(e or/ocs <br />pedo�anGo o/ rnns�rucfion. 7hst I om AuthOnzed by ih <br />work for which eppGcahon is mado and I comp/y with the <br />296.200 WAC. <br />th s rype ol work vill 6e iron <br />t does notp resume to give a <br />Ilawregu/slirg consWctron <br />oownerotfhis mpertytopi <br />Sfefe Conhac�rs Law 18.2 <br />s. a�� � � a <br />F�E <br />.a <br />�0.00 <br />and c�rlps" jz� <br />�... d <br />(o <br />and <br />