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O8/Oi/z014 rai i6:?? �nx <br />• <br />�ooziooz <br />�LECTRICAL PERMIT APPLICATION <br />� CITY OF EVERETT PERMIT SERVlCES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED F ROM 8 AM TO 4 PM <br />�� . n �+�o, <br />PROJECT ADpRESS ' <br />�VYI��> W���-'It n��5 7�10 <br />p,.m�t Mail Adtlress <br />�Il�nnQ. (1S (��(S�1-�._ <br />Tenant MailAddress <br />Mail Address <br />� ��� L4�+ � �L <br />SI� �te L�i�r,pnso Number . <br />�zJl,d i c�.,1,V� F..� <br />Pro{wsed Usa of Building <br />Square Pootage Qf resitlential new consWdion, remodel or addition) <br />\ <br />Descnption ol Work to Be Done: � `� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR nC CABLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />Clry <br />Cily <br />8�1v/7 O <br />��y��-{'a <br />lL� `IZ-J� V'��' V",l <br />Stote/Zip Phone <br />StatelLp Phone <br />Cily � � � Slale(IJp Phone <br />� <br />ConUacl Price of Work <br />�Y1�,�.�A,�b�i _ <br />Contad Person (Plan Review) <br />road and examined fhis application and know fhe samo !o be frue and <br />�ws and ordinances goveming fhis fypo o( woik will be compleled <br />r noL The gianfing ol a permd docs not presumo fo yive aufhority fo <br />;ions ol any olher sfate or locallaw �egu/ating consfruc/inn or (be <br />�n. The�! I am eufhorized by the ownor ol fhis prope�ty fo perlorm fhe <br />�c madaarM I emm�lv wifh fhe Sfafe (:onfracrors Law 78.27 RCW anA <br />� <br />FEE <br />�v �� <br />�lL{ O� - oog <br />t <br />