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� <br />� <br />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 />PROJEG7AuuKtSJ <br />Owncr <br />IdaJ Address <br />�p -i�-i3 <br />C ,� ro -iyy <br />S1atNZip Phone <br />�Jr`r a�� � � C!� <br />Tenant �dall Adtliess Qry SIa1c/Zip Phonc <br />L1Z5-�1-�1�1?� - <br />Electrical Contraclor Yda�i nddicss <br />1�M(_.i)'(Y1 �}'1 C�I? :� C_� <br />State Licensc Num6er <br />l�i m�r�i�c� �l�.�rr,►,.�D <br />Proposed Use of Bwlding <br />i <br />� �r <br />Square Foolaye Qf residential new construction, remodel or addiUc <br />Descriplion af Work to Bc Done <br />NOTE: WIRING IN NON-DWELIINGS IS REOUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />C�TY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />I hereby cerh/y Ihal 1lwvr, mad and examined this appGc <br />coimcl�. �,�P^frd�hnu!vrnr�^nand' n aranl rrl o/a Peim f <br />ivork lor whi h,�(iplir.alidn � m,�de.�nd I r.ompty n�ifh <br />296.200 S/ � // <br />Ciiy <br />SIMc/Zip Phone <br />_S�IL•f -J <br />CoNract Price of Work <br />G-�c,ria �p,�`L <br />Contacl Peraon (Plan Review) <br />ifion and know fho samo fo bo fruc and <br />Ihis typo ol �vork �vdl he complefed <br />doos nol prr,sunre fo give aulhonry lo <br />law rcyulril ing consfrudion or (ho <br />� ownor ol fhis roperty lo perfonn Ihc <br />Slato ContracPrs Latv 18.27 RCW and <br />F[E <br />�D�00 <br />�� �I 0 - l �� <br />u <br />