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ELECTRICAL PERMIT APPLICA�ION <br /> CITY OF EVERETT PERMIT SERVICES � � �� - 13 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 `I cJa_ <br /> 425-257-8810 - FAX425-257-3857 -www.everettwa.org C i3QF7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z 3 �� c, iti'c -��,c, / I C�;F� � /'�� �<„��rl. <br /> PROJECTADDRESS <br /> �� /���,��� f��►� u.�.� �.�.��� ,� sys c�� �-t�" c%t- s�'.�� sas-.�.�:>_ ��� <br /> Owner <br /> Ma Address City Sta elZip Phone <br /> �` �t9 ,� �t t� . i.: �r `�r S L��< l.1.� - �� y = ' a=331,. <br /> 4 A� <br /> Tenanl MailAddress <br /> �i�y lalelZip Phone <br /> � C t � �k�t.,( Cylr4 f�r �v ,�):,k .ZY�� S,ca�i o,ti: � cr/.� 9o�.�si �/1s-33Y-�ss� <br /> Eleclr.cal Contractor <br /> MailAddress City State/Zip Phone <br /> a� <br /> � SSUCcCc� �� ,cJL - .�� ^ <br /> Sla�e License Number Conlra Price of Work <br /> U �� ` / (.J.�-'.c � 0 4) � Contact Person (Plan Review) <br /> Proposed Use f Building <br /> Square Foo�age(If residenlial new construction, remodel or addition) <br />� y3 ' / / <br /> Descriplion of Work lo Be Dcne: �G�M��ti. LC1�l� i'"1'.�c �✓rf�('r �J�e `� ('��� �` '�'"�-� �'Fll <br /> i .c � / <br /> Y� ' %�"'�.J . >� r � / t � s. /Ct L � v T� <br /> �.i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ^���j('� <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> � <br /> I hereby ce�fily Ihat 1 have read and examined this application and know Ihe same to be true and � 5 Z <br /> carrecL All provisions of la�vs and oi�iinances goven.ing fh�s lype ol work ivill be comple(ed � � .� %— i <br /> �vhethcrspecdied hwem ornot The granling ol a pemut does not reswne to give aufhonty to i <br /> violate orcancel the provisions ot any otherstafe orlocallm•�re9uPting conslniction or Ihe <br /> peAomiance o(conshucfion. Thaf 1 am aidhonzed by fhe o�vner oI fhis propeRy(o pedomi fhe <br /> u�ork tor�vhrch applicafion is made and 1 comply u�dh fhe S(ate Confraclors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> ���� -:✓i� ( /a �YL� OUat��l�l S' <br /> � Si9nalure <br />