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�– – <br /> -- ----- ---- --- ---- <br /> �LECTRICAL PERMIT APF'�_ �►:._''sTION <br /> CITY OF EVERETT PERMIT SEF" ,'',-� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereitwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ` �a -I � <br /> C, �ab� -063 <br /> 'y' 3 � •Z l� i •% Y/�. ✓c: L— Cit,.�,rTi 93� U3 <br /> � �. <br /> PROJECTADDRESS <br /> Ji��n< <i c/ri,.�:�a (G�✓` %/.Cv w 7� ' ..0 /\ �9' � .,.�T �.E'.�o� �G(,r„rl, `/�1-zc3 <br /> Owner PAail Address City StatelZip Phone <br /> ��s- �s.z -� ��z/ <br /> �-�-I.3v v�-- <br /> Ten nt Mail Address City SlatelZip Phone <br /> ( �cr//(JE/t S � <br /> E�acl�ical Conlractor Mail Address Cdy Slate2ip Phone <br /> Stale License Number Conlract Price of Work <br /> /( �, ;,. t�c.:�c.c- - ,�uc%r��� .x <br /> Proposed Use of Building Conlact Person (Plan Revievi) <br /> Square F��ge Qf residential nevi consUuction,remodel or addition) <br /> Description of Work lo Be Done: <br /> � C �rc � � �J N._.,✓ l;�4T, -�7•� t.✓Rcc. v✓i/.rs. <br /> �r R - �t:.d�c,.a r s•� C:�,- o�.�:,� o ,ri�rS -� i��r, <- �, � ,r �; -�� • — <br /> iNOTE: V�'IRING IN NON-DWELLINGS IS RFQUIRED TO FEE <br /> I [3E IN RACE'NAYS, MC UR AC CABLE . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I rie�eb}�certify lha;I have read and examined this ap/�lication and knov�the same(o be(n�e and !I�(�C� _ �j�� <br /> coner.(. All provisions o//at•��s and ordinancas yovemmg fhis type o/t•��ork tvill be completed IJ <br /> whefherspeciGcd hc�ein ornot. The gran(mg of a peinut does not presume fo give aufhority lo <br /> viola(e arcancel0ie �rovisions o/any ofhersfa(e orlocal I�n•�regulating consfnicho•i or(he <br /> perfonnance of cons��uchon. That 1 am authonzed by the ormerol fhis property to peifomi fhe <br /> �rork for�vhich applicafion rs mad ,nd 1 comply�•�ith fhe Statc Con(ractors Laiv 18.27 RCW and <br /> 296200 W,4C. <br /> ,' q <br /> � �-�-/f--- ///.� � �Z CJ / Z_._. <br /> � .�...�,.�— � ✓�----�- <br /> Sign�lwe - Dale <br />