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/ <br /> ELECTRlCAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 42:-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> 6 -«-�� <br /> 4PPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C�ZQ 6� 6b <br /> 3�/l0 1 U�ali�� � (i'� <br /> PROJECTADDRESS <br /> L'a'! 0} ���'���- "s 'llU '��141, � c; ✓� <br /> Owner MailAddress City SlalelZip Phone <br /> Tenan� Mail Address Ciry State2ip Phone <br /> l�fi ��G✓� � �(� �'Ic,- �7J /�,n /o3y V¢k `7w'�iU� W7�- Q°727�� 3�+U-���-�"y- /., <br /> Eledrical Contraclor Mail Address City State2ip Phone <br /> �ra.�l��� 9I3��J I7J�c�� <br /> Sla�e License Number Coniract Prica of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage Qf residential new conslruction, remodel or addition) <br /> Description of Work to Be Done: ��� 4� G�/�� C���v�� <br /> NOTE: WIRING IN NON-D�';'ILINGS IS REQUiRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ^I 5(� <br /> u .� <br /> CITY OF EVERETT LOCAL SALES 1�AX CODE IS 3705 <br /> 1 hereby certify Ihat 1 have read and examined this applicafion nnd know the same to be huo and �I�O/_ � O r(� <br /> conect. All provisions ollaws and ordinarces goveming this type ol work will bo comploted U( U!K� <br /> whefher speafied herein or noL The gmnfing ol a pemut does not resume fo give authonty to <br /> violate or cancel the provisions o/nny n7hersfa(e orlocallaw regaPting construction orthe <br /> peAomrance oI constmction. That I am aulhonzed by the owner of thisp ropedy to podorm fhe <br /> �vork!or which application is made and 1 comply with the State Contrac(ors Law 18.27 RCW and <br /> 296200 WAC. " <br /> �� � ' 1��0 <br /> �� Signature Dale <br />