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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 93201 3 <br />425-257-8810 - FAX �425-257-8857 — v✓ww.everettwa.org--f0�/y /30 3 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />1 iLj� i_i (S �Le) -AJE <br />PROJECT ADDRESS <br />94:V e41 <br />Owner Mail Address City State/Zip Phone <br />Sk,-'IC AS <br />Tenant Mail Address City StatelZip Phone <br />Y LAA,91�3S—I a53--1LI� <br />Electrical Contractor Mail Address City State/Zip Phone <br />— <br />Slate License Number <br />12_- <br />Proposed Use of Building <br />Square Footage (If residential new construction, remodel or addition) <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Description of Work to Be Done: r—l�cxTe�� <br />DAB <br />E ANr-N_E <br />I <br />SMb,e� hAeJ- <br />$ . <br />DISNwfiSKt� <br />1=tTL�f <br />JQDJ� <br />Y-eJr,R R ' n -,9L <br />NOTE: WIRING IN NON -DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. r.s.OD <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />y certify that I have read and examined this application and know the same to be Irue and <br />. All provisions of laws and ordinances governing this type of work will becompleted l <br />r specified herein or not. The granting of a permit does not presume to give authority to <br />or cancel the provisions of any other state or local law regulating construction or the <br />mane of construction. That 1 am authorized by the owner of this ropedy to perform the <br />r which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />0 WAC. <br />��., _3 j zan,13 <br />