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ELECTRICAL PERMIT APPLICATII�N <br />CITY OF EVERETT PERMIT SERVICES �7 ��_�Z <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.org LV/z�S—(53 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />RO�� DDR�I I�'�� I�l C �{/�� � <br />Owner <br />Tenant <br />6;/��((' ��r i <br />[lectrical CoNraclor <br />Mail Address <br />Mail Addmss <br />MailAddress �7�,��� �, b� <br />U�,� I����T 9� 11� � <br />State License Num6er <br />IProposed Use of Building <br />� <br />Square Footage Qf residential new conslruclion, remodel or eddition) <br />City <br />City <br />SlatelZip <br />Stale/Zip <br />Phane <br />�hone <br />��lr°�I I�/G `i fs0/ � <br />state2ip �/1� %3 j�G/%` <br />�% 3��0 <br />Contract Price of Work <br />� �i �� ��/C' <br />Centact Person (Plan Review) <br />Descriplion of Work to Be Done: � � + � v ` ' ' - " ` - <br />I�oV C'ir�,�;, �l� ��i%tr ,��� h:��s � g,� �/ b�%�,, <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAY. CODE IS 3105 <br />I he�nby ccAi/y th�( 1 have read and <br />conect. All pravrsions ollaws and a <br />�vhelhcrspecdiedhei�inornot. Thi <br />violate orcancel fhe provisions a/ar <br />perlomiance o/const�uc(ion. Thaf 1 <br />r; ork /or �vhich applicafion is made � <br />296200 WAC. /i' <br />., <br />(his applicalion and knov� Ihc same fo be frue �nd <br />governu;g (his lype al �vark �rill be complefed <br />�I a penmt does not reswne fo give ��uthonty to <br />ite or local lmv raguPfing const�ucfion or tl�e <br />rzed by fhe ownero(lhisp roperty to peAomi the <br />v�virh fhe Smtc Co,�lrac(ors Law 7827 RC W and <br />`j ' ,��- 11 <br />FE� <br />i=� z�s r S � <br />