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� <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•evereltwa.org �y a� .. i 2 <br /> APPLICAT�ONS ARE ACCEPTED FROM 8 AM TO 4 PM C�ZD�"10 � <br /> , C� �C'C {-�S I�l� <br /> PROJECT ADDRESS <br /> Owner hlad Address Cdy State2ip Phonc <br /> �E- �S �` L, �c�fke�1 �o � �c�'C Di� ��IPrP-(� � �A �I�'2�� Ua5-s�3- l� o <br /> Tenanl Mail Address Cdy State2ip Phone <br /> 1 �/ r� I ppn �f��-7k � <br /> E��C1� IGI��GfIf'�"� L�1 / � � ISU C )1�V1 I�Ut�I ` I �/ nNl � !`l�I ,'.J� �/�OC� '/ -�h � <br /> Electrical Conlra or Mail Address Cny � State/Zip � Phone <br /> �/�� - (:C-�M � �� � � l ��, �� o • oc� <br /> Slale License Numher Contracl Price of Work <br /> r <br /> G � A'. ��v/� <br /> Proposed Use of Building Conlacl Persor (Plan Review) <br /> Square Foolage(If residential new conslruclion,remodel or addition) <br /> � , I� 7 < I� ��b L - i ���+�- �� ��� ,� <br /> Descnption ot Work lo Be Done: w N �� �n 1`� <br /> I�i NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> , BE IN RACEWAYS, MC OR AC CABLE. Q� �� <br /> C7 <br /> � CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhaf 1 ha�e rend and examined this applicafion and know the same to be frue and �i I �� ' :1 I <br /> � canecf. All provisions r,l laws and ordinances goveming(his fype ol work will be compleled �, ll <br /> - whelher speci(red herem or not The g��ntmg of a permrt does nol presumo to give authonty fo <br /> � v�olale or cancel the provisions ol any ather state or local lmv reguiafing construchon or the <br /> � peAa�mance o/consWction. Thal l arn aufhonzed by the owner o/fhis propeAy to peAorm the <br /> , work lor which apphcahon is made and 1 comply w.ith fhe Stale Confractors Law 1827 RCW and <br /> ', 296200 WAC. <br /> �, � ��-, '1 /s 3/i� <br /> , �,�ignaNre Date <br />