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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT I'ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org ,y��_�3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C/30� —� �� <br />���� �.�� G���e-�M�li 1,�� ���=� <br />PROJECTADDRESS <br />P f �.vE�� F. -�v���. �fol '>' <br />Ownef Maif Address <br />I�3 Ter��-tuloq i�'�` <br />Tenanl <br />Mail Address <br />/j�-�9 E le.c��i� <br />ElecUicalConlractor MailAddress <br />ii 1 Il/1(�:1 r` �l ! �' (�C ' <br />S�ate License Number <br />Proposed Use of Building . <br />�L� <br />City <br />City <br />Ciry <br />Square Footage pf residenlial new construction, remodel or addition) <br />Description of Work to Be Done: <br />StatelZip <br />State/Zip <br />SlatelZip <br />Phone <br />Phone <br />Phone <br />„n <br />' �/ODD .._ <br />Contracl Price of Work c� z> <br />'u2�i7 �Q�riS i,�3%0-131Z <br />Conlact Person (Plan Review) <br />��fZ, �IG?ri^., 5({�,1( <br />NOT�: WIRING IN NON-DWELLINGS IS REQUIRED TO - <br />BE IN RACEWAYS, MC OR AC CABLE. <br />r <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I f�eraby certily that I have read and examined this application and know the same to be tn�e and <br />conect. All provisions o/laws and ordinances govemmq fhis typo of work will be completed <br />whether speci(red herein or not. The gran(ing o/a pernut does not presume to give authonty to <br />violate orcancel the provisions of any othersfate orlocal law regulating construction orthe <br />perfomiance o/constnrction. That I am aufhonzed by the ownero/this property to pedorm tNe <br />._ .__...�.:,.�. ......u,..,r.,.., r� ..,�,�o �,,,� i �.,,,,.,�� �virl, rna Slate Con6ar.lors Law 1827 RCW and <br />FEE <br />l�a•�� <br />�13D1— (7� <br />