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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 96201 <br /> 425-257-88'f0 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �— /7— � <br /> � 136 �'��� <br /> 11� J� � ►�'1 Err'� �� Greel� �w ��Q� . � <br /> PROJECT ADDRESS <br /> Owne� Mail Address _ City State2ip Phone <br /> �OO�� c,L <br /> Tenanl Mad Address City State/Z�p Phone <br /> ��..r;tr f;�as��.�-� �?l�a� sH+h�}ve Nr ��I��,Fo� !�ll� q�aa3 ��ias)a��-rHy <br /> Eleclrical Contractor Mail Address Ciry Slate2ip Pnone � <br /> �o.rr�s�5931 m � <br /> � �,a, ooc� <br /> Stale License Number Contracl Price o(Work <br /> �g �'F �(oSSv.�o'� <br /> Proposed Use of Building C��n�act Person lPlan Review) <br /> � <br /> S Q O d <br /> Square ootage Qf residenlia�new construction, remodel or add��ion) � <br /> � <br /> Description of Wark to Be Done: �rE. 'ar`n. �Z <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO ' FEE <br /> BE IN RACEWAYS, MC OR AC CABLE . I �� � <br /> r <br /> CITY OF EVERETT LOGAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have road and examined Ihis applicafion and kno�v(he same fo be frue and �� ^ n <br /> conacf. All provisions a(la�vs and ordinances gevemmg lhis fype of�vork will be complefed 2! 1( —O"1 � <br /> �vhetberspecdied he�ain ornoL 7he granfing ol a pennd does nofp resume to give aufhonty fo ./� L <br /> violat�or cancel(he pmvisions c/ other sfafe or focal/aw regulafing cons(rucbon or the <br /> peAonrm ce o/construcfi . iat I aufhonzed by the ownerol this properiy fo peAom�Ihe <br /> �vork/or �ich applic ' is made i 1 comply�vith fhe Stafe Contrac(ors La�v 18.27 RCW and <br /> 296.2 AC. <br /> / � � �7 �o6pj . <br /> nalure "' ' Da�e � <br />