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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, bVA 98201 �3 <br /> a25-257-8810 - FAX 425-257-8857-vnvw.everetlwa.org 1- a,$'�/s� <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM E� �/r <br /> ( n 30o M �+�i l l C�e�e1�-� P� r'1r,�a� <br /> PROJECT ADDRESS <br /> O�S111�1 oY� <br /> t�l ``�C'�+5 �OU l�flil��S��' �ea�i�� W�-a�61D� 201� •l� �' <br /> Ov,�ner Mail ACdress City SL�Ie21p Phone �i�� <br /> •l 1/�� <br /> �t�-�C,�l'� �0�D D M�rv�`t l �,re�lf, I�uaiY , 1-t �113��5�3 <br /> 7enant Mau nadress C�ty S�a;e2lp Pho�e <br /> ��oY n�,�.r e� lQ�l D N , (`�'r-��h pkt,��N'� ltY.� �b�e.lL �w� <br /> Ge�r j c:e lC nlr.q �clor � A'allAr:ress Cey -�5��'��ZI. Phwre O� <br /> S.1 [Sl�iv` ���310� •�f a01 <br /> ��� Ft�S� �I�/t� � �t la l-( • 2-�- <br /> Slale License Number Contn:t Price ol Work <br /> M� i�f�l�e�v' <br /> PruFwsed Use of BuJding Centacl Persrn (Plan Review) <br /> Square Foolage p1 res�denbal new cons:ruclion, remodel or addition) <br /> Descr�plion of Wo;k to Be Done: ��• rA I�A Vrn n �� �� I `�1��l � \S �� I • 1 • <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �« <br /> f3L= IN W1CL=WAYS, tiiC OR AC CADL[ . <br /> l�1 (� . �t� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I he�eAy ceddy Ihal I have read and eramined Ib�s applicahon and know fh,e same lo be In�e and � <br /> conecL All prov�sions o�la�vs and ordinances govemmg fha lype ol woAc will be complefed � I �O' ' I �� <br /> whether spec�betl herein or noL (he granting c!a p=irod does not resume!o g�ve authonly ro <br /> violale or cancel Ihe provlrons ot any olher slate or lucal law regula6ng constructron or(he <br /> peAormance ul constrticnoa Thaf I am authori:ed Dy Ihe owner o/this propeMy ro FeAortn the <br /> worA lor r�hicb aF`Plicafian�s madc and I comply v:ith Ihc Statc Contr�ctors Law 18.2%RCW and <br /> 29G.2 C. <br /> L <br /> S�gnal �lo <br />