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� <br />�� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEl', EVERETT, WA 98201 <br />425-257-8010 - FAX 425-257-8857 — www.everettwa.org � 2- `� g`�Z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />4fi3'� `'ri�ra I-n.i'1z,,�i,�riGl�lu?c� 1�'�i�-3 <br />PROJECT A DRESS <br />— � . � <br />Owner - <br />Tenant <br />Address <br />Mail Address <br />Elet�rical CONraC�Of Mail Address <br />r.i n f� �. n t= �-�1'� '��'�f"' <br />State License Number <br />Proposed 'Jse of Building <br />C <br />Squ re Footage pf residential new consUuction, remodel or addition) <br />�escdption of Work lo Be Done�. <br />City <br />Ci�y <br />(:�r a l a-I o� <br />Slate/Zip <br />Stale/Zip <br />Slatc/Zip <br />OU ,�'>C� <br />Cant ct Pnce of Work <br />3`I5'`4..151 <br />Phone <br />Phone <br />r �� <br />Phone <br />� !Z t-'` �CL•��� <br />Ccntact Person (Plan Review) <br />NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABI E. <br />�� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily Ihaf I have read and eramined Ihis application and know fhe same fo bQ frue and ��� O <br />correcf. All pmvisons o/ laws and ordinances goveming ffus lypo ol �vork will be complaled L I �� � <br />whe�her specilied herein or not The granhng ol a penmf dces nol pmsume fo give authonfy lo �� � <br />violale or cancel ihe p�ovisions ol any ofher sfafe or local la�v re9ulafing consfnicfion or Ihe <br />poriomiance o� cnnslnicfion. That 1 am authonzed by the owner o/ Ihis property fo perfomi fho <br />work lor which �p��lrcahon is mado and I romply. wifh fha Stafe Conlracfors Law iB.27 RCW and <br />296200 WA�. / "= -.. - .. - ��' _ <br />