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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everet�Na.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�'_ Tj �� C �-� v_� �-I Ctk �� f� l✓J1 �/b� 0/ <br />PROJECTADDRESS <br />/- �y---i 3 <br />� t,�l3ol-�2 <br />S-1�.� l-1��� ^-�c ���at �+ C��,��, w� 9�.,v / <br />Owne� Mail Address City StalelLp Phone <br />Tenant <br />O lV 2 Li: � <br />Electrical Contractor <br />Slate License <br />S�I� <br />Proposed Use of Building <br />Mail Address <br />Mail Address <br />Square Foolage Qf residential new conslruclion, remode� or addilion) <br />City <br />Cdy <br />Staie2ip <br />StatelZip <br />Contracl Price o( VVork <br />Conlact Person (Plan Review) <br />Phone <br />Phone <br />Description ot Work to Be Done: C��� i' � t � �� l� i��t t p�� i��F�(�j� /� �v+v[l,;l <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CA[3LE. '�� <br />_;i ��. ' <br />� _. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certify that I Irave mad and examined fhis application and kno�v fhe same to be ln�e and L n <br />correcf. All provlsions o//a�vs and ordinances governmg Ihis type olwork c:ill be complr.fed L_ �; l� ���,' �-� L�- <br />�vhether speci/ied hemin ornoL Tl�e granling o/a penmt does not reswne fo give autl:onty (o <br />violate or cancel (Oe �rovisions oI any ofher sfafe or local la�v mguPting constniction or the <br />perfonnance o/conslruclion. That I am authorized by the ownerol fhis propedy to pedonn Ihe <br />�:ork Ior which applicafion is mnde and I conrply �viU� tlw Slate Con(racrors Law 1827 F'CW and <br />296.200 WAC. <br />, <br />�>�.�=T G���y �n13 <br />