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ELECTRICAL PERMIT APPLICATIQN <br />'%'%I `� C� %�.� <br />(.c�,=. �t.= i i <br />PROJECT ADDRESS <br />Owner <br />� <br />i <br />� <br />Tenant <br />-, <br />�,. ,,� <br />�1,�-; i �i,�` <br />Electrical CoNractor <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERElT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www•everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� <br />r�l��Yc �zD <br />�L�i�/�C 5L�-_ �`�'!i (i <br />State License Number <br />� <br />���N�a` � l;� � <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />%5/�" `z" <br />Mail Address <br />Sauare Footage (If resid�nl I new construclion, remodel or addiUon) <br />Descrip�ian of Work lo Be Done: <br />Ciry <br />Ci�y <br />City <br />State/Zip <br />StatelZip <br />� S C.l-L`� <br />SialelZip <br />/�`"�%`� � <br />� Ia10--10� <br />a C'� <br />������, <br />Contract Price of Work <br />Phone <br />Phone <br />y�s Sc�;' <br />� , �%� 9? <br />Contact Person (Plan Review) <br />Phone <br />J -(�`{� l�vl� �f <</ C- .Y'_i�: I -fC,^ �r'c"cC 7l�('gr_' �'�i��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEW�1�fS, MC OR AC CABLE. —� �� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily lhaf I have road and examined fhis applicalion and know the same to be true and � I��!, ^ � O Q� <br />co�rect All provisions o/laws and ordinances govemuig this type o(�vork will be, completed �/ I <br />whether specified herein ornoL The granting of a pemut does not resume lo grve authonty to <br />vio/ate or cancel the provisiuns o(an}� other state orlocal law reguPting conswction or the <br />per/onnance of construction. That 1 am aufhonzed by fhe owner o/this propeify to peAorm the <br />�rork (or which application �; made and I comply with the State Contraclors Law 18.27 RCW and <br />296.200 WAC. /' _ `1 . <br />