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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-251-8810 - FAX 425-257-8657 — www.everettwa.org ��.� �_� 3 <br />APPLICATIONS ARE ACCtPTED FROM S AM TO 4 PM � � 3o a�O rji IO <br />, , <br />�� �> � � S �%l' '�t1,1(� �1,� f� Y l, <br />PROJECT ADDRESS � <br />—L <br />Owner <br />Tenanl <br />ElectriCal Contrador <br />j�i � �, � � �� � � <br />T Mai(Addr?ss <br />MailAddress <br />Mail Address <br />� �' _ <br />������',�,�t�i �'P�'i 1,_� � <br />State License Number ' <br />; � _ � , r L � :�-�.C, � � - -, <br />Proposed se of Building � <br />n i- � <br />J i �, <br />Square Foolage (If residenlial new wnslruction, remodel or addition) <br />City <br />S�ate2ip <br />StatelZip <br />Phane <br />Phone <br />City Slate/Zip Phone <br />C� �� ! <br />;� - ����' - <br />Conlract Price of Work <br />Contacl Person (Plan Revie�v) <br />Description of Work to De Done: (��t, J� _[ ��1.' ���� /1Li� J � � ��1 /' � � � <br />, ) , <br />/ �! ' I I J� n -I. �' -� / � y/i.l�,� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />�� CITY OF EVERETT LOCAL SALES TAX CODE IS �105 <br />�� I hc�eby ceMily thaf I havc re�d and exarnined Ihis applic. ti �n and know the <br />' conecL All prqvisions ollaws end oRiinances govemmg lhi; type o/ �vork tv <br />�:diether specihed herein ornot. 7he granting ol a pernut doea no( �resunto <br />violate or ca�icel lhe piavisions ol any otherstafe orlocal la�v iugulating con <br />per/ormance ol const�uclion. That 1 arn aidhonzed Uy the mvner o(thisp rop <br />�vork Ior whicl� applicatiun is made and 1 compty wifh the Slate Contractors I <br />�9fi 200 WAC. � <br />/ , -� �� <br />, � ' —<� , <br />� i, ; �� �,f_'l�L%I <br />� to bc In�e and <br />completed <br />�e atdhority (o <br />fion ur fhe <br />o pedoim (he <br />827 RCW and <br />;-9/-/�> <br />FEE <br />�O�Z� <br />� �?�O� , C��� <br />