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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I�_� <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org d ` �J <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � � � ��O�� <br /> //3 0? VV�%mvi� i9�� r'y�.,-�l�- <br /> PROJECT ADDRESS <br /> St- /`•'S G G+�-t S/pn_e�ii+� . 7�7.3.2 ZJC�M�n L /�r� �Yo.t.l�^—w?I �d�/�� <br /> Owr.er MailAddress C�ty State2ip Phone <br /> �—— <br /> �-�- <br /> Tenan� �dailAddress City Slale2ip Phone <br /> .. � <br /> ��.��1.,.-� �����_�t L�` /� ?2�� S/ S/ �� /V/-� <br /> Eleclric Contraclor Ma�iAddress ���^ C city �� 9�{a����� y� ��.Pho`nes� <br /> �' %e L _ � � vvg <br /> State License mber � Contract Price of Work <br /> , <br /> `� I {\ <br /> Proposed Use of Building Conlact Person (Plan Revieai) <br /> Square Foolage Q(residenlial nevi cons�ruclion, remodel or addilion) <br /> � Descriplion of Work lo[3e�one: _ 5���. ua �.0.•,— � � a.�j����- �4-�' <br /> .. <br /> � <br /> �ly�s � -1 - <br /> I <br /> � ; NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAI'S, MC OR AC CA6LE. �7 <br /> l 1�7 ,�"1C� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 5105 <br /> 1 hereby certily that 1 have read and examined fhis applicafion and know the same fo be We and <br /> cormct All provisions o/fa�vs and mdinances goveming Ih�s type olu�o�h�rill be comple(cd .,r� <br /> whefherspecified heiein ornof. The granhn9 0l a penmt does not�resume fo give authorty to L- � -��.� ' C� <br /> violate orcancel the provisions o(any otherstate orfocallarv regulatin9 cons(ruction or fhc <br /> pedomiance o/conslrucfion. That I am authonzed by fhe mvnero(t0is �roperty fo perfomi(he <br /> wodc!or�vhich applicafion is made and 1 carnply witA the Sfate Contrac�ors Laiv 18 27 RCW and <br /> 296.200 WAC. <br /> a/�v/o� ? <br /> �ure a�e <br />