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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />320D CEUAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 -�vww.everettwa.org a`�3 _ �3 <br />APPLICATIONS ARE ACCEPTED FRUM 8 AM TO 4 PM <br />3looL �-��°. t-+v� , F-< <+i w�1 4d'�-,� <br />PROJECT ADDRESS <br />�wc3aa�°o� <br />,J�i',:. G�. I rr � f G1�/c°✓' l�_1V /�:�� �w� � NrY��� W� %U � i7� <br />OwneP MailAddress � Ci�y StatefZ,r Phone <br />Tenanl <br />Elec�rical Coniractor <br />S�ale License Number <br />Mail Address <br />Mail Adtlress <br />S���i� �z„M;iy '�;.�;�.:L - <br />Propo d Use of Buildi <br />�� (-�� <br />Square Footage pf residenlial new conslruchon, remodel or addition) <br />Descriplion of Work to Be Done: <br />City <br />City <br />Stale2ip <br />Stale�Zip <br />Coniraci Price of VJork <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />NOTE VJIRING IN NON-DWELLINr,S IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE . —7 �[L� <br />�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily that I liave read and examined (his app6cation and knoro the same lo be Gue and I i A, I� O Z,b Q I <br />con�cL AO provisions of laws and ordinances govcmrng fhis type o/ n�ork will be completed C Y � <br />v,lietherspecdied hemin ornot The gran(ing ol a peimd does not proswne lo give aufhonty to <br />violate or canccl lhe /�rovisions olany ofherstate orlocallaw regulafing consfruc(inn er fhe <br />perfonnance olconsln�chon. Thaf 1 am aufhorized by (he o�vne� ol this !�ropeAy to pedom� the <br />�vork Ior �vhich applicafion is rnade and I comply with fhe S(a(e Contraclors La�v 18.27 RCW and <br />296.200 WAC. <br />