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i -- — <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT �ERVICES � _� _�z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ��� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org (-%/Zd� - <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� �01.�, W�.J c, !�',�c- <br /> PROJECT ADDRES� <br /> �obe.,r} �� 3 ) ao ��aVz ��id� VI-ey.�,� w� �sa�3 <br /> Owne� MailAddress City State2ip Phone <br /> Tenant IdailAddress Ciry State2ip Phone <br /> Sr 1�s ��e�ff i� �,r�� 11 I a`-1 �l�. .�1- SC Sn��:,��,i�l lJA �b�.�0 �,5��S IJJ <br /> [lec�rical Coniracto� Mail AAdress CAy Stafe2ip Phone <br /> � �, 3oa .'= <br /> (j0 � �S C� ���.�' Contrect Price of Work <br /> Stale License Number <br /> SF72 — <br /> Proposed Use of Ouildinc� CoMact Person (Plan Review) <br /> � Square Foolage(If residential new construclion,remodel or addition) <br /> Description of Work to�e Done: �t��� � �������� Q�� y � g � �' <br /> i <br /> I I NOTE: WIRING IN NON-DWELLINGS IS R[QUIR[D TO FEE <br /> 13� IN RACEWAYS, MC OR AC CAt3LE. � O�� <br /> CIT'f OF EVERETT LOCA!. SAL[S TAX CODE IS 3105 <br /> �i I I,ere6y certi(y thaf 1 have read and exumineu'(his application and kno�v the same to be true and � (�O�^ O�� <br /> '� cormcL All prcv�sions o/lar�s and ordinances govenung Ihis fype ol�ao�ic�a�ill 6e complcted <br /> � whcllier spec6ed Ncrein ornnL The granting ol a pemut docs nnf �resume!a give authonty fo <br /> I violate urcancel tl!e provisions o/any ofher state orloca(laiv reGula(ing consfn�ctron or fhe <br /> pedom�ance o/cons;n�clion. That 1�m aufhorized by Ihe o�vner o/fhis prope�ty to pe�form(he <br /> rro�k lor�vhich applicafion is made and 1 comply�rifl�the Sfafe Conf�ac(ors Lu�v 18.D RCW and <br /> 296,200 WAC. <br /> '.�.� ��. �,1m�ia <br /> — Sigaatt Daie <br />