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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� wn�� s-� <br />PROJECT ADDRESS <br />�3 <br />9-a3-i3 <br />Ei 3oy-�s <br />�� <br />�-�411�P.S�� a-.—f l S''�� wA�..-*�r ST, �'1�t-RE'tT �i �^B2"/ <br />Ownef MailAOdress City Stale2ip Phone <br />N <br />Tenant <br />Mail Address <br />City <br />Slate2ip Phone <br />}�vP�"'L�'C�-P-�� ?o�$ok-Ivo3 3uri►au_ �-�-��6o4-I �a�-�k�5-5118 <br />Elednral Contrador Mail AdAress Ciry Siate2ip Phone <br />-PoeE��'8P�1SS <br />State License Number <br />� M�-��-i"1 ��r:�l`'�`.� <br />Proposed Use ot Building <br />ZOd <br />Square Pootage Qf residential new construdion, remodel or addition) <br />� �� oqp " <br />Contract Pncc ot NJork <br />bA-F�e� �JEbE1-�--- <br />Contact Person (Plan Review) <br />Descriplion of Work to �e Done: �.C>� "1'��"f wiD� / N't�CR-`"n� S1Y� a�.�,_ <br />�"�v �-S �� A�o fr D��ef� ���..1 Sr� (J-S � �'FW� F� <br />�{y� W 1 T-E., <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABL[ . � D Oa <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J705 <br />1 he�eby certify thaf I have read end ezamined fhis applica(inn and Fnow the same to be frue and ,i (�Oq <br />correct All pmvisions ollaws and ordinances govem�ng fhis type ol work will be completed l� l—� ZS <br />whether specified heiein ornot The granfing ol a pemid does nof pmsumo to give authonty lo <br />violateorcancelthe provisionso/anyothersfateorlocalfawregulatingconsWcfionorthe <br />pedormance ol construction. Thaf 1 am authonzed 6y the owner o/ thisp roperty fo pedorm the <br />work (or which application is made and I comp/y wifh the Stale ConfraUors Law 78.27 RCW and <br />296.200 WAC. <br />