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03'�9/::a13 Tr�u 1::38 r�s <br />ELECTRICAL PERMIT APPLICpTION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98?01 <br />425-257-8810 - FAX 425-257-8857 — www.everettv:a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� o� -�-t� v-�- u-e _ <br />PROJ[CT ADDRESS <br />}yn <br />lef >dall Atld <br />�l < < <br />iera�r^t ' ,\ �dail AaJress <br />��1 ,�0� WiJi"y" <br />E 1_C C� l`QI C. UZS S�+�� lS�" ,1' <br />EleclricalConiraclor MaiiAddress <br />1�S`l���w ��7��J.`�. <br />S�ate License Nurnber <br />'�eSi�e� a1 �le=C,-{=�-i c,c� 1 <br />Proposed Use of Building <br />Cily <br />Cify <br />)�1 �`b ZC 1 ZD►v �I I U` <br />SlatelZip <br />�� �i <br />sc3i�z+a <br />moaziooz <br />Phone <br />Phone <br />'L�!%V-lt� t,�fF�14� ; �'�1 ?�l0"]8�25 ; <br />Ciry State2i�i Pt�one <br />� ���1 � <br />Contract Frice of Nbrk <br />Sfr,c.� lv10�� -� 1 ' <br />—�— <br />Contact Person (PI2n Review) <br />Square Foota�e Qt residential new construction, romodel or addition) <br />Oescription of Work to Bn Dono: � `� " � I � . / "` `-� 1 � <br />-I�o � i � � <br />, � - � o �-�-1� <br />�lOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE. <br />CITY OF EVERETf LO!.AL SALES TAX CODE IS 3105 <br />1 ho�eby certify that I uave rvad and examined this applic <br />� <br />A <br />and know fha same to bo truo and <br />ype of work wilf be completed <br />: not prasume to give aulhonry to <br />�egulating cons(ruction orfhe <br />er of fh�s propeRy fo pedomi the <br />Confractors Law 18.27 RCW and <br />-�X��P�Sf <br />FEE <br />C��1. �l�l <br />(� ( ��C' j - l � �l <br />u <br />. :.,.. ,_ . „,,:.,. . _ <br />,_.. , . . . . . <br />.... ,.. a_ .:;K�.:.'. . ..lY.,� . . .. � .. . .. <br />: .. . .. . � ��� I ti. i..� : .. �.' _.�-. .. .. . <br />v --,..vy�. <br />