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------ - — ----, <br /> � ELECTRICAL PERMIT APPLICATION <br /> i 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 /> (J J� /�b> ./ /7 ✓L , <br /> PROJECTADDRESS <br /> `? i <br /> U..,� ,,../- i%:-�c�j-T �� � i /r-yf fJv� %���'i% %,�� � <br /> Owner Mail Address City State/Zip Phone <br /> I <br /> I <br /> l!-..•..'L_ <br /> Tenant Mail Address Ciry SlatelZip Phone , <br /> � Z� ��� 5~ � Gu.L�c `�'✓t,n 2 S <br /> .., ,,�� ;�,.,,-,,,,.: �M I 5�s/U ;�� ,� 3 �� 5r �� � <br /> J- <br /> [ledrical Conlrac�or Mail Address City State�Zip Phone <br /> _ � <br /> �6��f✓(�l{;�» ��� �ca <br /> IStale License Number Contract Price of Work <br /> ������ ��' ^C� ��`�� ���'� ��D ���0 <br /> Proposed Use of Building Contact Person (Plan Review) <br /> , Square Foo!age Qf residenlial new conslruclion, remodel or addition) <br /> �,�,�� l/ �� �i�i 1 ���-t�o�,�,� i <br /> Description oi Work to Oe Done: I <br /> ' r I <br /> � I � 1 "� 1 � �T <br /> i <br /> I NOTE: WIRING IN NON-DWELI_INGS IS REQUIRED TO FEE ; <br /> BE IN RACEWAYS, MC OR AC CABLE. ��` /'"�� i <br /> i �� v�/ I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I her'eby certilv that 1 have read and examined this ap/�licafion and know(he sante to be We and <br /> r.anecL �711 piovislons ol laws and ordinances govenrorg(lus fype ol�vo�k will be completed <br /> � �;he(ber a�pecified hemin ornoL The grenhn9 0l a pernn(does not presume to give authonty to <br /> iviolate orcancel the provisions o(mry othersfafe orlocal la�v regulating constn�cfion or fhe <br /> peilormance o(conshuc6on. Thaf 1 arn authorized Uy Ihe o�vner o/fhis property to pedortn the <br /> �.�ork/or which applicafion is n�adqand I comply wilh fhe Sfate Contractors Law 78 2�RCW and <br /> � 296.200 WAC. / <br /> � � �� �l (���Q( Z <br /> ,I � S�.gnature Da e <br />