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Ol/21/2J15 �:CD 10::2 i'Ax <br />CJ <br />_ � <br />ELECTRICAL PERMIT APPLICATIOPJ <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, lNA 98201 <br />425-257-8810 - FAX 425-257-8857 — wwnv.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Ph7 <br />��� �``��� ���� �� <br />PROJECT ADDRESS <br />�:.c�4.�= <br />O�+�ner <br />C <br />c <br />Tenant <br />�1�. .: <br />t.ta�i Adtlress <br />!.1.iil Atldmss <br />[IcC,ricalConlractor tAailAdlro;s <br />`�1��s9 ���I`�� <br />State License�Numbor <br />�r�S�G��� � <br />Proposed Use ot Building <br />Square FooWge (II resitleNial no�.v conslructmn, remodel or addition) <br />� I <br />Descnption of W ork to (3e Oonu: ���` � l'_� u L\ <br />NOTE: WIRING IN NON•DWLLLINGS IS RE�UIRED TO <br />BE IN Ri10EW�YS, NC OR AC CA6LE. <br />CITY OF EVEREIT LOCAL SAIES TAX CODE IS J105 <br />i� <br />Ciry <br />C��y <br />�� <br />Sla'e2p <br />�OC2/002 <br />Phorn <br />Gry � I� Slale/Z�p Phono <br />C� <br />��`�� .U� <br />ntwc! Pdce of Work <br />-��tr�vL <br />Contact Porson (Plan Review) <br />W L � <br />„ , . G �{ �/ 3 Z <br />iat I ha��o ioetl and cramrnod Urls appliwtion and hr.ow tlic same !o Go truo antl <br />sbns ol laws and ordinances govormng fhis typo o/ w�o�k tslll be compfeled <br />i hcrcin or not. Tho gn. nfing ol e permit does rtol iosume to give aufho�lty lo <br />fha provisions ol anv o;hcr sfato orlotal law reguP6ng cons(ruclion or Ihe <br />onsVuct�on. That ! 5m aulho�lzotl by tho owner ol fhis roperfy to peAorm the �����— ��� <br />>plrcaf�on is made and 1 comply �rilh fhe Slate ConfracP�s Lnw 78.27 NCVJand <br />Gnl_�.�IJ�},� \,21.1�� <br />