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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 /> � � /� �� u � � <br /> PROJECT ADDRESS <br /> �� � Z.3/S �,�5� -��;�%��- �-��/ �/z�29.�6 <br /> Owner MailAddress Ciry State2ip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> �c��E � <br /> E�eclriCal CoNractor Mail Address City Slate2ip Phone <br /> State License Number Contract Price of Work <br /> ��� <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Square Footage Qf residenlial new construclion, remodel or addition) <br /> Description of Wprk to Be Done: <br /> � Gt..ec� , �s � 3�� ����l�o�e� <br /> /-1���-� �N <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �r �(j <br /> 7 -- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certily that 1 havo read and ezamined this:�p�licafion and kno�v the same to be tn�e and <br /> conect. All prowsions o/laws and ordinances goveming fhis l ype of work�vill be complete� �I 3� � " D�� <br /> whefher specified herain or noL The granfing oI a pennd does not resume to give authonty to <br /> viola(e orcancel the provisions ol any o(herstafe orlocal la�v reguPting constnicfion or fhe <br /> perlonnancc oI construcfion. That f am aufhorized by(he owner of fhis properfy fo pedomi the <br /> work lor tvhich a �lication is made and 1 comply�vith Ihe Sfafe Contractors Law 18.27 RCW and <br /> 296.200 WA . <br /> /- i�- /� <br /> � naNre Date <br />