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i_- -- -- - <br /> ELECTRICi4� PERMI�' APPLICATION <br /> CITY OF EVERETT PERMIT SERViC�S a � _�Z <br /> 3200 CEDAR STREET, EVERETT, U�'A 98201 I b — <br /> 425-257-8810 FAY, 425-257-8857 —ww'.v.everettwa.org �� Z�� —Ob� <br /> APPLICATIONS ARE 0.CCEPTED FROM 8 AM TO 4 PM <br /> j � � i � I-���L!'1 c�i� <br /> PRUJECTADDRESS <br /> I�l�r� � r'���s �1�NST I <br /> Owner PAailAddress Ciry State2ip Phone ' <br /> Tenant Mail Address City State/Zip Phone <br /> �����-�n c<-r�� < �2�>> ��is� S� r,�W s��� wr� 9�2`i 'i.� <br /> EleciricalCon�rador MailAddress Cdy StalelZip Phone <br /> � ''�25 ��(7� <br /> �JI`!ln(� �E � ()JU �� ,)(jL'i� 57'rJ� <br /> Slale License Number Contract Price of Work <br /> SF12- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �jJJ <br /> Square Footage Qf residential nev+construclion, remodel or addition) <br /> G n <br /> Description of VVork to Be�one: IU(=1,�1 ��1 ��p SC�\) I� 1 UI� S r �—' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, N1C OR AC CABLE. <br /> � <br /> 1 CITY OF EVEkETT LOCAL SALES TAX CODE IS 3105 <br /> � 1 hereby cedi(y that 1 have read and examined tBis ap�'icafion and knor�the same l0 6e true and r, <br /> correct. �111 pmvisions of la�vs and o�dinances govemmg this type of�vod<<ail!be complefed ���� � v� �f <br /> whetherspecified lierein ornoL The granting of a pernut does nof resume to give atdhonty fo <br /> violafe orcancel fhe provisions of any ofhers(ate orlocallatv reguPting constructicn orthe <br /> pedonnance o(constructiar. That 1 am aufhonzed by fhe owner o(lhis uoperty fo per(orm the <br /> wark lor which applicalion is made and 1 comply wifh the State Cantrac�ors La�•✓18.27 RCW and <br /> 296.200 W4C. <br /> --���—\---- �U- 1 • 1'� <br /> SignaWre Dale <br /> r�.. . <br /> t� <br />