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i _ - - -- <br /> 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 a-� -' 3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �� �a -0 <br /> '�ZS � <br /> i� ,-�t,<<< ,�-��, <br /> PROJECT ADDRESS <br /> �� �� VO5 (JLc i^�t /UJ.S �i���.i�.� /�vL !_v e.-�..c%_ G���t 9f'��n j 9�7-�'/Z �y�. <br /> Owner � Mail Addres:. City State/Zip Phone <br /> `J�. .�� <br /> Tenan! MailAddress City Slate/Zip Phone <br /> 1751 �l�cl� c. ��C� 7.� 7� S 4 != r/ tc-9- `Jb�7 trzs �s'ss1yJ <br /> Electricai CoNraclor Mail Address Ciry S�alelZip Phone <br /> L7.5(/ s L x- � c: z.z- (3 L ��L`� <br /> Stale License Number Contracl Price of Work <br /> /��� � � Contact Person Plan Review) <br /> Proposed Use of Building ( <br /> � <br /> I <br /> ISquare Foolage(If residential new conslruction, remodel or addition) <br /> li Description of Work to Be Done: f}�� J' ��-7`C� fS <br /> � NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> I BE IN RACEWAYS, MC OR AC CABLE. � <br /> ��, . ��� j <br /> ICITY OF EVERETT LOCAL SALES TAX COt'E IS 3105 <br /> 1 hereby certily fhat 1 have rer�d and exarnined this applicafion and knotv Ihe same to br. Irue and <br /> correcL All provisions ol/a�vs anA ordinances govemmg this type oI�vork �vill be completed C I '��C�� - C)j �1 <br /> whelher specdied derein ornoL The 9ranting o/a pennd does not presunm fo 9ive au(honty to <br /> violafe or cancel the provisions ol any other state orlocal la�v regulafing consWction orthe <br /> pe�fomiance of consWction. Thaf 1 am aufHonzed by lhe owner ol thw property lo pedomi Ihe <br /> �vo�k lor�vhich applicafion is made and I comply�vdh IHe Sta(e Con(racfors Law 7827 RCW and <br /> 296.200 WAC. <br /> ,� �, y.�,_._ 1 —> —lal ? <br /> I Signature Date <br />