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ELECTalCAL PERMIT APPLICATION <br />CITY OF EVERETT i'ERMIT $ERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FR01�1 8 AM TO 4 RM <br />z9z`� ��ovr �v� <br />pROJECT ADDRES <br />�,.�.�yo�=�, �onitU�ISTY u� <br />1 <br />Owner Mail Address <br />�� 1 ��ti1 �c: � �"1',,i7�' <br />T,,.,.,.,� Mail Address <br />�- G � TH <br />L'co ��-EcTeFC -�U` 7 <br />Electrical Conlractor Mail Addmss <br />a co E�. C 1tr 89"L.l_T <br />State License Number <br />.a�GTL�- — <br />Proposed Use of Building <br />Square Foo�age (If residential new construction, remodel or addition) <br />Cily <br />City <br />Ciry <br />StatefLip <br />state2ip <br />Slate/Zip <br />rnone <br />Phone <br />Phone <br />��,�,��, C���.'r,%� <br />Contrect Price of Work <br />� xtys.L zoG �L9�•To38 <br />Conlact Person (Plan Review) <br />Descriptiono(WorktoBeDone: UPDflTEI-NC-� £rQE A`-��h S�T� '�LEVA"N� R`-�'q1'L'orvcy. <br />� mt.ch�„� � „� <br />-+' c° ,�i<•,� t�, 1 ,n c <�c�n - <br />I'i NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />I BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 1105 <br />1 he�eby certify thaf 1 hnve read and ezamined this applicafion and know Ihe same fo be 'rue and <br />correcL All provisions ollaws and ordinances govemmg fhis type ol wnrk will be complefed <br />whelher speci(ed herein or roL 7he granfing ol a permrt does nof presume to give aufhonty lo <br />violafe or cancel fhe provisions ol any other sla?o or local law re�ulafing conslruchon or fhe <br />peAormnnce o/consfrucfion. Thel l am aufhonzed hy fhe owner o/fhis property fo PeAorm the <br />work fo,- which ,application is made and I comply w�th tne State Contrac(ors Law 18.?7 RCW and <br />296..'.GO WAC. <br />�, <br />0 <br />0 <br />FEE <br />= I I c.' J"<-� `r � <br />