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i -- ---- --- -- -- - <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, V�iA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APpLICATI0N5 ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���1 I � �� ��l �� ; � f <br /> PROJECT ADDRESS ° <br /> G � 5 L ,F� <br /> Owner MailAddress City StaleQ�p Phone <br /> ITenan� MailAddress City Stafe2ip Phone <br /> � �S ���r�r,c ��� 2 5���"�t 5�" �7/!-✓ .��n�T��r/A �'829'2 <br /> Eledrical Contrac�or Mail Address C�!y State2�p yf�y ne <br /> �FG <br /> �I r� , ���� C�rac�eof�Wlork �Z <br /> a �� <br /> Slale License Number <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Square Footage pf residential new consiruction, mmodel or addilion) <br /> Description ot Work to Be Done: � � � l_1���! V��f/ � ����� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F[E <br /> 8E IN RACEWAYS, MC OR AC CABLE. �� Qj� <br /> C�TY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> I here6y cedily ihat 1 have read and examined fhis applicalion and know the same to be(n�e and zI <br /> correct. All provisions ollaws and ordinance-govemmg tbis type of work ivill be completed �I .J `����� � � <br /> �a-hefher speci(ied here�n ornoL Tl�e granting o/a pemuf does not presume to 9ivc aufhonty fo <br /> violatc orcancel the provisions ol any o(her sfafe orlocal law mgulafing constn�c6on or the <br /> perlonnance o(construcfion. Thal I am aufhorized by the owner oI lhis r�ropeMy lo peAonn the <br /> �.. � �vak/or which applicafion is made and I comply wifh the State ConVactors Latv 18.27 RCW and <br /> 296 200 WAC. <br /> /-� l� ' �'�S��l� <br /> nature Date <br />