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ELEC:TRfCAL PERNlIT APF�LICATION <br />CIT`� OF EVERETT PERMIT SERVICES <br />3200 CEDAR STRE[T, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-3857 — wv✓w.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO ; PM <br />:�1� ! lU � y � /`��� . <br />PRO.iECT ADDRESS <br />O�vner <br />Tenanl <br />Mail Address <br />S �c,er �� ��U �7� �1 / h <br />MailAddress � <br />�_ �S�/ Z� v�`' /�i� �% <br />Ele�iricalContractor Maiinddress <br />�J �,���, � �c� � � <br />Slal License Number <br />�I <br />,^, ,Vv�i'V�� <br />Proposed Use of Building <br />City <br />!/�0�� / <br />� <br />Square Footage Q( residenlial new conslruction, remodel or addition) <br />l <br />Description ef'."Jork to Be Done: �� S�'•�n�ci "� �F ��; <br />; NOTE: WIRING IN NON-DWELI_INGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 h�roby certily tha(1 have read and examined t/iis applic, <br />r,orrecL All p�ovisions o(/a�,�s and ordinances goveming <br />rihnlhnr snenGed herein nrnoL The 4/an(in4 0(� pPnnd <br />l�—'�--E;�'� <br />naWre <br />Ciry <br />, <br />a�:+�' �� <br />Cily <br />� <br />sfztelZip y P.hane <br />(/wr _ <br />uJ�%t �f 3��/ <br />State/Zip <br />�,�� �8z� t <br />StatelZip <br />d� <br />�/L�L� � <br />Conlrad Frice of Wcrk <br />Fhone <br />yzs <br />�37�-5 �l >'S <br />Phone <br />Contact Perscn (Plan Review) <br />�"-aJ �Ifn�Q � <br />and kna�v the same fo be (nie and <br />�pe o( r:ork r,ill bc complefed <br />no( preswne fo give aulhority to <br />agula(ing cons(n�ctian nr (he <br />er o( this property to pedorm the <br />Con(ractors Law 1827 RCVV and <br />� � -z� -�t <br />FEE <br />� �� <br />