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Y - �� <br /> El_ECTRICAL 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 /> .�// �/�- <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � ��_oyZ <br /> 1 G C�� C_'���c;�� ca -��`�- <br /> PROJECT ADDRESS <br /> �2c.w � ������nt.�h�c,se�� ���1 P��.-P �v.�-�2:1� W� °��CUI (u2�)y�? - lv-iZ�1 <br /> Owner Mail Address City Stete2ip Phone <br /> U i\ ( � <br /> Tenant Mail Address City Stata2ip L�z Phqn4�i <br /> �1 <br /> �� ���,�k� E - '' ��� � c� �L�25) �� <br /> Eledrical Contra tor Mail Address City Stete2lp Phona <br /> 1�� �,� �.� �C.CG'��'"s N � <br /> State Lfcense Number ' Contrad Price of Work <br /> I <br /> Proposed Use of Building Contact Person (Plen Review) <br /> Square Footage (If residenlial new construction,remodel or addition) <br /> Description ot Work to Be Done: \U�' ��V e- C�K,�Cl�,,'�G� ���--��G�T J—�+ LI�� � <br /> �V�.r�.v-� C��flv�c� N1N� c u1-�L � �\�'�S� c��� i��✓1 �-� �.,� ��.e.S <br /> ct� �,'�.�c�t �� ��� �cw�cav�U ��Uc-v�� � wcvlE�c.�p <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 he2by ceRily fhat 1 have read and examined this application and know fhe same to be frue and ���-� ' 6L <br /> correct. All provisions ollaws and ordinances goveming this type ol work will be completed ( Z <br /> whetherspeci(ed herein ornof. The granting o/a pertnit does nof presume fo give authority to <br /> violate or cancel the Provisions oI any other state or local law regulating conshuction or fhe <br /> peAormance ol constiuction. That I am authorized by the owner o/this property to peAorm fhe <br /> work(or which application is made and 1 comply with the State Confrac(ors Lew 18.27 RCW and <br /> 296.200 WAC., <br /> � <br /> ��.��ti����� i'�'l" � � � � � <br /> Signature Dete <br />