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�Z5 <br /> ELECTRICAL PERMIT APPLICAI'ION <br /> CITY OF EVERETT PERMIY SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM ��y a7 yZ <br /> Giz/� � /7�f <br /> �� , �� u�� -r �� �� <br /> ,�:, ��-- <br /> PROJECT ADDRESS <br /> �� � ���\C ��� <br /> ����� �� V<� � ���C' k c(''��l�lC C�� i�� z-��,�� — vfrrt-�- 1,���� ���62'� I <br /> Owner MailAdtlress City Stale2ip Phone <br /> �D- �r�l— �6 _,c_ ( � <br /> Tenant MailAddress Ciry State2ip Phone <br /> �-1Z5-�8 l—"�1 Zd <br /> �M('cZm�������Ss�t�?� 1.1E 12�s-��n St C—�� 4 �mc;r� �I�fJ52 <br /> Electrical Contractor ail Address CAy SlatelZip Phone <br /> I�M '�(YI�IC�I? �iC � - <br /> State License Number Contract Price of Work <br /> L- ,1--�-- -- G�IY�! � oQ �-II`V� <br /> Proposed Use of Building Cuntact Pe� n (Plan Review) <br /> Square Footage(If residential new construaion, remodel or addition) <br /> Description of Work to Be Dane� � 1 f��� ( I 1 ' `-f L� ��n � }� U" � <br /> �-�� �� J �1 ��� . <br /> — l _� �- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE . � ; - - <br /> � L� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9705 <br /> I hereby certi(y(hal 1 have read and examined fhis applicafion and know fhe same fo be frue and <br /> correcf. All provisions of laws and ordmances goveming this type of�vork�vill be completed <br /> whefherspeci�ed herein ornoL The c�ranfing o/a pennd doos not presume fo givo aufhonty to <br /> violafQ orcancel fho provisions o(any otherstafo orlocallaw regulating consfruction orthe <br /> peAom�ance ol constroction. That I am authorized 6y the owner o/fhis propeRy fo pedorm Ihe <br /> w �ivhich app6wfion is made and I compty wdh the Sfate Contrac(ors Law 18.27 RCW and <br /> 20 WAC. <br /> . <br /> �,�./ L � `.� <br /> Sigrature a;e <br /> - � � .. . i � -- - . .. ��" � c .. � <br /> ., '�*. i,.�,�.-� � .:-��1�?�.iti.e4��K� / i ���. � - ����,,�, � <br /> '�'`�'���,. � �►+"°L A .�.,,,.�3i�C�'' aa .sUY��.t.�... . . �i . �_e <br /> _6. y�� �.. ?r . ',n ` .i <br />