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ELECTRICAL PERMIT 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 /> ZZI� <br /> � k��+.�� rr �uu <br /> PROJECT ADDRESS <br /> L4� <br /> NENc�YT rwG a.l�RPrrS� r'J LDY f2�f ��{�= ^i�TT �1�2oL 42ti-2Cz�Y <br /> Owner Mail Address City StatelZip Phone <br /> IVJrtY1h,yE6i A�q,7SfMZ p�,�L�_ zOJ <br /> T����S YUL 'LZ 1a 41�uJ� + �UH.hFT'C WR� �iA?A1 'i2,i- �CZ�K Q1 <br /> Tenant Mail Address City Slate/Zip Phone <br /> wk <br /> �: 'Yr 4 1a� . tst— 4 Z <br /> EleclricalContractor MailAddress City Slate�Zip Phone <br /> _L1.ji�XY� 1 C � 1)D '� � �J � { .5 0. l7 (� <br /> Slale License Number Coniract Price of Work <br /> S��IJ <br /> Proposed Use of Bui ding Contacl Person (Plan Review) <br /> Square��e (If residential new conslruclion, remodel or addilion) <br /> Descriplion of Work to�e Done: ��2 r 1 7 A�,cl� F u kS�( n^+���3-'�--�� �1-�,--�—� <br /> �u�r S�G� Ie.�P��12.�t t'CSr MALwlME <br /> NOTE: WIRING IN IJON-DWELLINGS IS REQUIRED TO FE[ <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> �(eS c� O <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that 1 have mad and examined fhis applicafion and knowlhe samo fo be(rt�e and ��� ^�y !\Pl� <br /> correcL All provisions o/la�vs nnd ordinances goveming fhis type ol�vork will be wmplefed L�� lJ�/ <br /> �vhether speci�ed he�am ornot. The granting o(a pennd does not resume to give aufhonly to <br /> violateorcancelfAe provisionso(anyothersfa(eorlocalla�vreyuPlingconsWctionorfhe <br /> pedormance o(cons(mction. That I am aufhonzed by fhe o�vnero(tliis property to pedomi Ihe <br /> work(or wh�ch applrcafion is made and 1 comply wrth the Stafe Contractors Lnw 18.27 RCW and <br /> 296.200 WAC. <br /> c <br /> � / � ���pL ��K,1�i71L <br /> ��dS��Wre Dale <br />