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r _ <br /> ELECTRICAL PCRMIT APPLICATION <br /> 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 /> ���� <br /> . �� %/�w , 'f-'f �✓L <br /> PROJECT ADDRESS <br /> G 67 L✓ / <br /> Owner MailAddress Ciry State2ip Phone <br /> ��v..� T — <br /> Ten t MailAddress City StetelZip Phono <br /> 206 . S 79 <br /> �/_ Lo:-� ���� . 3<^�� �87 �h �/4« ss �{/�c/r %JA 5$0.2 �v7o <br /> Electrical Cont lor Mail Address City StaMlZip Phona <br /> J/ a�'� GT�9.2DT - l"�oo� <br /> State License Number Contract Price of Work <br /> � '..�u 7r �d�� <br /> Proposed Use of Building Contacl Person (Pian Review) <br /> N fa <br /> Square Footage(If residential new construction,remodel or addition) <br /> Descriplion ot Work to Be Done: �c�� I��"� C�r /c u 7� � SG ri.� 7� �e�f l�f'✓ <br /> � � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �� f D <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I I�ere6y ceRify fhbt I have read and examined this application and know the same fo be true and �I /� I� � <br /> conact. All provis�ons ollaws and ordinances goveming this type o(work will be completed ��Jlp – <br /> wnether spea�ed herein or not. The granting ol a perm�t does notpresume fo give authority to <br /> �iolate or cancel fhe provisions ol any other stafe or local law regulating consfruction or the <br /> perfomtance ol consrruction. That 1 am authorized by the owner o/thisp roperty to peAorm fhe <br /> work/or which application is made ar,:f 1 comply with fhe State Conbacfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��� �� a� <br /> i ature Date <br />