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� � <br /> r _._. _-- _--- _ <br /> I � <br /> ELECTRIC�L �E!?!!�lIT Al�PLl ..,�T���J ( <br /> CITY OF EVERETT PERMIT SERVICES ! <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257•8857 —www.everettv✓a.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM I <br /> I <br /> �17 �oU�- ft� — I <br /> PROJECTADDR S <br /> �.u,^,�. �%So`� S `��� �t/� f'✓e r�e�-- l�/��`��'Zoj �N�I-99q� <br /> O�.�ner hlailAtltlress Ciry StatelZip Phane I <br /> ln (, �.�(i ( ���V�— �i/-P ft' F�{� �✓1f �fSZO( �(2S:Sb'3 Sj� � <br /> Tenanl tvtadAddress City StatelZip Phone <br /> EIeCIriCalContractor �dadAddress Cdy Slale/Zip Phone <br /> Stafe License Number Coniract Prite of Work <br /> I �CL✓tG/'� "`� — <br /> Proposed se of Bwldmg Contact Person (Plan Revie�v) <br /> g�� <br /> Square Footage Qf resitlenlial nevi r,onslruclion, remodel or addi�ion) <br /> � Desulption o(Work lo Be Done: �-n5��!� IL�G✓ /!�", ��n�' Se�N�C� ����p G�7.1'Lc J)� - <br /> j �'iU r �e ��.,cs�' �I �� �> we. W i �� � (nl l f i,�y�I,ti��r <br /> I �ul c�-5 .��j�S iq�`i.�r�r,�' <br /> I . ' 12l —l�� <br /> I NOTE WIRING IN NOU-DWELUNGS IS REQUIRED TG FEE <br /> i BE IN RACEWAYS, MC OR AC CABLE . � � <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� --- <br /> 1 he�eby cer6ty Iha(I have read and eramined(his applica6on and knoc:fh_r c,3me!o be true and <br /> � correct. All provisions o//an�s and erdinances 9oveming fh�s type ol�,�ork:vdl be cwnpleled <br /> � �;hefher speci�ed herein or noL The granLng ol a pemrd does nof presume fo give au(honty to <br /> I violafe orcancel Ihe provisions oI any ofherstale orlocal lavi regulaGng consUuchon or(he <br /> perfom�ance o/consWctmn. Thaf 1 am authonzed by Ihe ov+nerolthisp�opeily to perform fhe <br /> ivork lor�vhich applicafron is made and I compty viifh the Sfate Con(raclors Law 1827 RCW and <br /> 296.200 WAC. <� <br /> c,� - ,� � <br /> —�� - ��---- � —'_ -�'" - ` � <br /> SmnaWrc �-" _ — <br />