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�-- - <br /> ELECTRICAL PERMIT APPLICATIOlV <br /> CITY OF EVERETT PERMIT S�RVICES <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 /> I �1�� �L���2 ���� �P <br /> PROJECT ADDRESS <br /> Owner <br /> MailAddress City SlatelZip Phone <br /> TCnaM Mail Address City Slate/Zip Phone <br /> ���2 �(��Z�< <���� (dc�-N, STS� ��e�°�`(� �`�;�t�' y�5=3�-'��/�v <br /> Eledrical Coniractor Mail Address City <br /> StateZp Phone <br /> �C�/� ��/��" � Contract Price of Work <br /> Slate License Number <br /> S�2 <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Square Footage Qf residential new construclion, remodel or addition) <br /> Description of Work to Be Done: <br /> 1�'S`��l-�� r�+C'w c2oC5 l��c'S�2 � ��'�-'�. � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I hereby ceRi(y(hat I liave rrad and examined fhis npplicafion artd know(he same lo be true and �f 2i O.. � !(J Z <br /> correcf. All provisions o/la�vs and or�iinances govemmc7 fhis type of work will be cornpleted 8 <br /> �vhether speci(ied her�ein or noL The granfing o/a pertnd does not presume(o give aufhonty fo <br /> viola�e or cancel fhe provisions ol mi}� �fhcr state orlocallaw regulaling constniction or(he <br /> perlormance of constniction. Thaf I am aufhorized by the owner o/fhis pruperty fo peAomi fhe <br /> v.oik Ior which a�olicafion is made and 1 comply�rith(he Sl.de Confractois Laiv 18.27 kC W and <br /> 296.200 WA�. <br /> � �c� �v- ����a <br /> �S g a ure �— uare <br />