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� <br />ELECTRICAL PERMIT �:PPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857-,�ww.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />"' (� O 9 �U r�f U� 1 l-i1=. G U ��v" �� <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Mail Address <br />Mail Address <br />�V% L l� � IJ I y LC.�C� 121C l'C <br />Electrical Conlraclor Mail Address <br />/LiC(�I?..'1'CG�3%1� — <br />Slate License Number <br />��� — <br />Proposed Use of Building <br />Square Pootage Qf residenlial new conslruction, remodel or addition) <br />City <br />City <br />Cily <br />3-a�--�3 <br />l ;�I3o 3 �-15Y <br />�3� 3 yz� �3 Po - z �� <br />StatelZip Phone <br />Slate/Zip Phone <br />SlatelZip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Description of Work lo Be Done: (ZU�I.t�+Ll- L.]S S I C f � 2'S {�'���� i'`� Af� (�'�1 �� <br />c. � z.<� str.,� � rtia��v H: �-;;�� � ��� C L-'N I�.{�� <br />w ��N �L � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify Ihaf 1 liuve read and examined this application and kno�•d fhe same to be fnie and <br />wrrecL All prnvisions o/ Imvs and ordinmices goveming this fype oI �rork �vd( be complefed <br />�;-helherspeci�ed herem prnoL The granling o/a pemuf does not presmne to g�ve aufhonty fo <br />violafe or cancel fhe provrsions ol any olhersfate or local law re9ula6ng construcfion crthe <br />perfomiance of construr.hon. That 1 am aulhoiized 6y fhe ownerolthis property fo per(omi the <br />�vork /or which applica(wn is made and 1 comply �vilh fhe Stafe Confractors Law 18.27 RCIN and <br />296.200 lh'AC. <br />FEE <br />�� �,�� <br />�- � 7> C�� - � GJo�i <br />