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--- — - - _ -- -- <br /> �----- —�--- --- -------- -- <br /> ii <br /> ; EL�CTRICAL PERMIT APPLICATION <br /> ! CITY OF EVERETT PERMIT SERVICES <br /> ; 3200 CEDAR STREET, EVERETT, WP. 98201 <br /> 425-257-8810 - FAX 425-257-8857 - wv.titi everettwa org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ��7��3 <br /> � C/��--0�� <br /> � <br /> I <br /> i��r� �r 5� sr <br /> � PROJECT ADCRESS <br /> II <br /> , Ovmer Mad Address C�ty State/Zip Phone <br /> I <br /> i ���1��f� Co�,j� . �vC�o �/� S� sT Gv£��2� I7- wA- 9v 20! <br /> ITenanl �daiiAddress Cny StateiZlp Phone <br /> i ��� . �Lf'�-�- �h� 3 �1 � l��Z /li.�bu,-/J (.�(/N . /��fev,t/ �Jl� 9v0� Z 7�- 711" 79 � <br /> E!ectncalContraclor MadAddress C�ty StaeeZp Phone <br /> I SESIN� # 9 r v 2� �2�(, Do0 � <br /> � Slate License Number Conlrart Price of Work <br /> � �U(7nlNt £/-GI G� C����1 GE <br /> � Proposed Use of Bwlding Contact Person (Pian Revie�v) <br /> Square Footaye (I(residential new construction, remodel or adddion) <br /> I � /�� I <br /> Descnphon of Work lo Be fJone� _ - t �CI �� ��-GDi1�f7`-i � !� 0� L� 1 �L <br /> -'_'-'�.—�'—j—,�L_�`V-���C_ l �_ <br /> I _�i�LP 1/o%�Q C,e ��, i�f�i n �i Ga y�u i �S vo V i �� E D 12N f�S I <br /> � �— <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLE . , <br /> `f(o0 � 0(� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 310F <br /> 1 heieby certily fhat I have read and examrned fhis.�pplir.aGon and know the same fo be�n�e and <br /> conecL All provisions ol la�vs and ordinances goveming(his(ype o/wo�ic irdl be completed � � �C� _/.�Lf Q <br /> whether specfied hereui or noL The granfing ol a permit does not resume to 9ive authonty to U CU <br /> violale or cancel fhe provisions ol any ofher stafe o�local law reguPfing censhucfion or fhe <br /> pedonnance ol consWction. Tha(I am authonzed by fhe owner ol(h�sp roperty fo peAorm(he <br /> �vork/or v,�hiclr application is made and I cornply�vrth the State Cont�acfors Law 18 27 RCW and <br /> 296 200 WAC. <br /> ���%t �' Z�7��� <br /> Signa�ur Da e <br />