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I � <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-vwvw•everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM S AM TO 4 PM <br /> 3 7 � 2 S tio�.Cr A�� (:/ ���E� , w� / 82 03 <br /> PROJECT ADDRESS <br /> �r�Efi Sw a�/LdCs�-rz ovVl s►4wt r ( a:s� 77�8a3_I <br /> OWner MeilAddress City Stete2ip Phone <br /> Tenant Mail Address City Stele2ip Phone <br /> ��iNO.c/�S �E�`{�'i � /N C <br /> Eledrical Contracto� Mail Address Cdy StatelZip Phone <br /> a363a �� qq �Z�o �rYMe�kXS I/�� �02�0 ��� <br /> State License Number Conlract Price ot Work <br /> ,E�,MoNe s i vo � � ti ��nn �ekainrA ��Zs�z9o-3�o(a <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � 50 fq ��'• l SMl�I� StEE� 1 <br /> Square Footage(If residentiai nev�conslruclion, remodel r addition) <br /> Description of Work to Be Done: � /GC��D�� Cl�U 1 TS �e �u TG100Z s�'�� <br /> z /ZEc�p�.4�lE's , a ��9 ti �.s <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE �y� <br /> BE IN RACEWAYS, MC OR AC CABLE. �JCV" <br /> l � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I liereby certify that 1 have read and examined fhis application and know fhe same to be frve and � I � <br /> correct. All provisions o/laws and oidinances goveming this type ol work will be,completed z0�' '� <br /> whether speci�ed herein or not. The grenting aI a permif does notp resume fo grve authority to <br /> violafe or cancel the provisions o/any other state orlocal law regulafing construction orfhe <br /> per/ormance o(construcfion. That I am aufhonzed by fhe owner ol thisp roperty to pedorm the <br /> work lor which application is made and I compty with the State Contracfors Lew 18.27 RCW and <br /> 296.200 WAC. <br /> "� 7 'S- IZ-- <br /> Sign re Dele <br />