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( � <br /> � � <br /> ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 '-���,_.�Z <br /> 425-257-8810 - FAX 42&257-8857—wuvw.everettvva.arg <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �r�7��d� <br /> Q ID metf i \� C{eek'� �rk��c�� <br /> PROJECT ADDRESS <br /> Z.�'1�ecA�0.�-ec� Yec.�l ��ui� �mc� cc huvc� ua5 -�43 - 03�IU <br /> Owner MaX naaress�— qry 1 sMmz+p Phone <br /> ��cre a� al��� <br /> Tenant Mail Atldress City SWIe/Zip Phaic <br /> �1��1: �F �(�'��� -�`��S Qo��a� p� S� ��Cl��o L�J� �6(uu <br /> EledricalContraclor MallAddress City State2ip fnwne <br /> srncztis � Y�co o� _ �o � <br /> Stak License Numbar Conl2cl Price of Work <br /> .1'ammoar���roo �Qi '��a)�l�ic�vv�� <br /> Proposed Uae ot 8uildin9 Conl�ct Penon (Plan Review) <br /> Square Footage(II residential new construdion,remodel or addition) <br /> oesuiption ot Work to 6e oone: j�:�4G lg)��� ti P('� �(',tf'Y�11 Ll l0 Y�(l �.I�PJ'�I_l)CP Q_�_ _ <br /> ► 1'] rna^ ' i n n, 7v�S�F Q 9,1 �. C'�Q r��,�S n i'1 e�c r��,v�r� <br /> U <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. / �SO <br /> �Q <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3706 <br /> 1 hereby ce�tily fhaf 1 hava roa[1 and examined fhis applicafron and know the same fo be fn�e and �I � <br /> corred. AH pio�sions ol laws end adinances govemmg f�rs type ol wak wiq be completed �� ',O� <br /> whefNer specilred herein or nol. TAe grenlmg ol a permd does nof �esume lo give aul/anty to <br /> valafe a cancel fAefpn�oc wfsrons ol any ofher stafe or local!aw raguPhng consfrt�cfion w IM <br /> �k/�orewhich�ap�afart�s m�arnidmle�mplY�++lh 1�Sfate Conlh�racta�s�w 8.2�7 R�W a� <br /> 296.2�WAC. <br /> � y�,.. 71 �3 - <br /> � �k <br />