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, __- -------- <br /> - ---- <br /> I <br /> I ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> i 3200 CEDAR STREET, EVERETT, WA98201 �D�a6-�z <br /> 425-257-d810 - FAX 425-257-8857 —wwv+.everettwa.org c, <br /> L-�/Z�� "�7 ! <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��G � �cfno '� /�� <br /> PROJECT ADDRESS <br /> , a � �+,-�-�_ �= ��.�tt- w1F. ���Szci �{15-35�� `� � I <br /> � . I' �� � I;, � �� I� i � <br /> Ov+ner A1ailAddress City Sta!e2ip Phone <br /> Tenant <br /> I�Qail Address Ci1y State2ip Phone <br /> �.� ���c rk,:E�•'� �1•� • 4S`6z 4�h Y�1cJ ��„ I�L �^��. '� 1f 2� I ''115- �0�5 73�j <br /> [lectrical Contractor <br /> Mail Address Ciiy StatelZip Phone <br /> till`1=L'. SL �1�Ch��i <br /> e5�' 2 �06 <br /> State License Number CoNract d�ice of Work <br /> L;�,�� <br /> � Proposed 0�e o(Buildiny Contacl Person (Plan Revie�v) <br /> I <br /> �I j2�8 <br /> ��I Square Footage pf residential new conslruction,remodel or addition) <br /> Descriptian of Work to Be Done: I�a� <br /> rL 1:;4cy�� L:.,r,J�H �.:.h Q. ,.,. ,4 Lyl,Ff:fih��L. r,�J <br /> � .-,.,,1- 5}w �,a�.y l. rF�r�. C;�c�, Fs nJrl �j• p,� S,F� FI��Fr;L�.I.C. <br /> �;A^ b,-���� 4 , � �.a�� a-�i �� � Q-S ^ w�S�.�� Ra�.. , C, �5��� �n� i �•iG �'t��l�.�y <br /> �t�----1T1 <br /> I� NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS MC OR AC CABLE . ��C�� <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hmeby cmiily tha(I have road and eYamined this application and know fhe same ro be true,�nd i � '� I Il , I �� <br /> correcL All piavisions ollatvs and o�dinances govertung fhis(ype o/tvo�k tvill be corttplefed C � <br /> whefher speciLed hercin arnoL Ths granfing oI a pertnd does not �esume fo give authonty fo <br /> t Iviolafe or cancel ihe provisions o/any olhm�s(afe or local lac��eguP(ing constn�ction or the <br /> peifonn�nce o/cons(ruction. That 1 ant authonzed by fhe o�tiner o/fhisp roperty to peAomi fhe <br /> work lor�vhich applicatior,is made and I compry with fhe Stafe Coniraclors Law 1827 RCW and <br /> 296,200 WAC. <br /> ����� �c.�. Z� �� <br /> % <br /> Signature a�e <br /> �� . -- ---- --- ------ ------------- <br /> ---- <br />