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ELECTRICAL PER�VIIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org �_as a 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM GI JO 3"I�� <br /> �1 <br /> � � �,� ./1'1.�/Z .Mr�ti;i l�� _ �/>s <br /> PROJECTADDRESS �Z�� � 4�a �a� <br /> � <br /> L � v,^,�-s i o ,�i y �3z � ,�., � 4 �f <br /> �1,�,� � MailAddress Cd•; Stale/Zip Phone <br /> Tenant Mail Address City StatelZip //1� Phone <br /> '7 L <br /> Ed'�tia�� s��.� 3G� i ��i ,�tr ,�cr �'��� �� -Z/�� _ <br /> Electrical Contractor Mail Address Cdy State2ip Phone <br /> F�L F��US:� I y 2 L I� -- �n�act�i e�Work �� <br /> Stale License Number <br /> �/` /� Contac�Person (Plan Review) <br /> Proposed Use of�uilding <br /> Square Footage Qf residenlial new consiruclion, remodel or addition) <br />_� <br /> Description o(Work to Be Done: ��'�l (/` Il✓� � �L ���� � ��v""1��� <br /> � <br /> IINOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CADLE. ��� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � I hereby ccrtily thaf 1 have mad and examined(his applieation and know fhe same to be tnre and r 1 � �3 —� � t� <br /> con�ect. All provisions o/laws and ordinmices govemmg Ihis type ol�vodr w�ll be completed �- 1 <br /> � whefher specd�ed herem ornoL (he gran(ing o/a pennd dnes not presume fo give aufherity to <br /> violate or cancel the prowsions ol any ofherstate orlocal law reg�dafqig constnicfion or the <br /> perfonnance olconsfruclion. That 1 am aufhonzed by fha owner of(his property to perlonn the <br /> woik/or which appii afio is made mid 1 compty wifh the Slpte Confracrors La�v 18.27 RCW and <br /> 296.200 WAC. / <br /> ' � 3 <br /> �� i;' �_ � .3 <br /> i tur Dat <br /> � <br /> ---------------- -- <br />