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� <br /> � --------- - - <br /> ELECTRICAL PERMIT APPLICATION 'I <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �—(3 �/Z i <br /> 425-257-8810 - FAX 475-257-8857—www.everettwa.org LJ r��`�� I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> Ilal� ' '���I (�v�, �I". <br /> PROJECT ADDRESS <br /> � ��1�11��� �A��r; . liG I��`� � 112rt�i bT '�i' (�V' rLff- lNA' �j`6,a.t�� � <br /> IOwi�er Matl Address City State/Zip Phone <br /> I <br /> Tenanl R1�i1 Address City Slale2ip Phone <br /> YJ�f� \N«y�� I.i � '�:1�"h�� S� l5(�1b15T I���q��u�� Wfl H$�al- � <br /> � Flectrical Con racto� hlad Address r,iry State/Zip Phone I <br /> � Y`� �IV.WY`� � I�� FJ �(1� � dDI� <br /> Slale License Number Conlract Price o(Work <br /> ��ci�"�'IVIr� �4' 1�: c11� <br /> IPmposed Usr.ol Building Canlacl Person (Plan Review) <br /> i <br /> � <br /> II Square Footage Qf residential new conslruclion,remodel or addition) <br /> DescnptionofWorktoBeDone: I`���� ����� 'f�«��� �� ���u�n��I �'IY�YI�'1 — <br /> �8 I sq f�- — <br /> I NOTE: WIRING IN NON-DWELL�NGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. /]�y� I <br /> I CITY OF EVERETT LOCAI SALES TAX CODE IS�105 "6� <br /> 1 hereby certity that I have read and examinr.A Ihis applicatinn and know the same to�e true and l�I�7 �'1 C_O�� I <br /> correct All provisinns o(laws::rid ordiria�ires gove.,iing t�iis lype o/work will be coni leted �i LV D <br /> whethe�specilied hcrein or nnL Thc,q�anting o/a pennrt does no( resumn to give authonty Io <br /> violafe or cancel(he provisions o/any other sfnte or local law reguPfing construction or the <br /> , perfonnanr.e o/construclion. Thaf 1 am mrthonzed by(he owner of fhis property to pedorm fhe <br /> � work�nr which applica(ion is made and 1 comply wifh fhe State Contractors Law 78.27 RC W and <br /> � 29G200 WAC. i <br /> �I �j �,,,r,vr,v,�.� (1'fi�I'�� � 1� <br /> —���« � o �� <br />