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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 3 AM TO 4 PM <br />� � ( 5 /��i �.'}}�,, �'�>T � �' <br />PROJECT ADDRESS <br />Owner <br />'1 <br />C <br />Mail Address <br />Mail Address <br />�u�in�( �Ov3 <br />E;actrical CoNfactot Mail Address <br />������P��S��� <br />State License Number <br />�j �--2 <br />Proposed Use of Building <br />Square Foolage (If residenlial new conslruction, remodel or addition) <br />Ciry <br />City <br />City <br />State2ip <br />StalelZip <br />W i� 15'� `�� <br />SlatelZip <br />r <br />, 3 5`� ,' <br />Confract Price of Work <br />�1 n 0_i, .� /3 C--fJ �c1—` <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />���� <br />Phone <br />Description of Work to Be Done: �1 _ <br />c t�.'.:� i �—r� 1�c-7-c.'S�f^iT`'�—^—`Tj I r1 �-�'R'-�c�N <br />M,_-.� L.-L`-,.w.sn/1� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hernby certily that 1 have read and examined this applic <br />conect. All provisions ollaws and ordinances govemmg <br />whefher speci�ed herein ornoL The gnnfing ol a pemut <br />violate orcancel fhe provisions ol any otherstale orloca� <br />pedonnance of construction. That 1 am aufhonzed by (ha <br />�vo�ir for which application is made and 1 comply �vith the <br />296.200 WAC. <br />and Know the <br />vice o( work w <br />G-8�(z- <br />o to be tn�e and <br />completed <br />ee authonty to <br />tion or fhe <br />'o peAomi the <br />8,27 RCW and <br />� �Zo�-0�3 <br />