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ELECTRICAL 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 8 AM TO 4 PM <br />S r t A L®wn Ocim % F-11an6 6 r -ZC) 3 <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City State/Zip Phone <br />Tenant <br />Mail Address City State/Zip Phone <br />t$`iDcrAurora Wue <br />8hor�l(nc.l.t-cc�r cant 'Irk Kt ShorrllH�e (AA gX1,33 Kay �7f-`{83y <br />Electrical Contractor Mail Address City <br />State/Zip Phone <br />SI•(URt L- tq- 3- 1. <br />State License Number <br />Proposed Use of Building <br />-Tf4 � <br />Square Footage (If residential new construction, remodel or addition) <br />tk 7,800 •yv <br />Contract Price of Work <br />C�nCcS ��c�S.'itln <br />ContactPerson (Plan Review) <br />Description of Work to Be Done: Girc rka l i� d <br />NOTE: WIRING UIRED TO <br />E IN RAC WAYS MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that I have read and examined this applic <br />correct. All provisions of laws and ordinances governing <br />whetherspecirmed herein or not. The granting of a permit <br />violate or cancel the provisions of any other state or local <br />rm perfoance of construction. That I am authorized by the <br />work for which application is made and I comply with the <br />296.200 WAC. <br />know the same to <br />of work will be con <br />FEE <br />7500 <br />and to 1 U20 — 103 <br />C. " -- <br />ors Law 18.2/7 RCW and <br />041% �Ct [ ZO <br />