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ELECTRICAL PERMIT AP�LICATION <br />CITY OF EVERETT °ERMIT SER'VICES <br />3200 CEDAR STREET, EVERETT, WA 90201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />������ �-\c>`�t V���rc = \'�'e��J \,'����� <br />PRCJECT ADDRESS <br />Owner <br />, <br />` — <br />Ma8 Adtlress <br />��� �. � L_ — <br />Tenant Maii ndaress <br />' � (�'�t�C � �- �� <br />Electncal Contractor <br />Mail Address <br />�'�'.-�-0 E'_�� \Z�.�[� ` <br />State License Number <br />V�C)Yvl�`l�li �-1 �tA� O �•i-�� �� `�.`•—_ <br />Proposed Use of Building <br />��' �� <br />Square Footage Qf residential new construclion, remodel or addrtion) <br />� /� � <br />�escription oF Work to Be Done -`-1' \��t-�— �-- <br />`� U—� � ( � �-U <br />�>rz�- ��r�-� ��v.�� < < <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />� �� w� <br />� %1 �.�. ll U�_ <br />City <br />Ciry <br />( �� <br />State/Zip Phone <br />State2lp Phone <br />�� �� � vu�l �� <br />Cit StatelZip . � e <br />Y � ;�,F, - � � u <br />��y" <br />���``�(� r� <br />Contract Price of Work <br />Contact Person (Plan Review) <br />y certily fhaf I have reaA and ez�amined this applicafion and kno�r the same fo be 6ue and <br />. All p�avisions o/ laws and ordinances govemmg this type ol a�ork will be completed <br />�r specilied herein or not. The granfing ol a pemut does nof reswne to give auBionty to <br />or cancel tl�e provisions o/ any other st�te or local law reguPhng consfrucfion or the <br />im� )ce o/ bnsVuc on. Thaf 1 am aulhonzed by (he o�+�ner ol th�s property to pedorm fhe <br />bµ�lucb �M1phcati n is m de and I com y �vdh the Sfafe Contracfors La�r 18 27 RCW and <br />NVAC. ' � � , % � �� <br />' C ' / <br />'� � �/ � :�!. �' i n .� <br />, �� � �,�� � ( f <br />� <br />FEE <br />101.�� <br />� IZ[I �D2_C� <br />