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FROP1 :Wieco Electric f�c o - FAX PIU. �3FQ5914838 Mar. U4 2�13 11 41RM P1 <br />1 } <br />� r: <br />:v <br />' . . i'i,i. , <br />� G� -� � /I1� � -�'� l�Jl�v <br />�' 36U��/-��3�' - <br />ELECTRICAL PERMIT APPLICATION <br />EVERETT PFRMIT SERVICES <br />Cli'Y OF — <br />3200 CEDAR STREET, E'VERETT, WA 98201 3�- Ij �-13 <br />425-257-Si310 - FAX 425-257-8857 - www•everettwa.org f h 6 3��(/ <br />�. / J I <br />APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />o � '..��1 �' 1`�� � <br />PROJECTADDRF55 (��5'.��9 ^'�3? . <br />'Y}1o�.e.-a� <br />Owner <br />Tenant <br />t, �ce� <br />Electrical Contrac�or <br />Moil Address <br />Mail Addresa <br />Moil Address <br />�l �.C� �-� IaJ �A� <br />S�ato l.icansa Numbdr <br />=�_i�RS� <br />�� <br />Ciry � <br />� 5�'K <br />City <br />�L�-',L/19- — <br />Proposed Use of Building <br />/�J �Gl�-�-� <br />Square Footage pf rosidenlial naw cons(ruction, remodel or addition) <br />Doscription o1 Work to B� Donn: <br />G <br />NOTE: WIRING IN NON-DINELLINGS IS REQU!RGD TO <br />BE IN RACtWAYS, MC OR AC CABLE. <br />ciTY OF EV[12E'f7 LOCAL SAL[5 TAX CODE IS 3105 <br />I horeby certify <br />coriecL A.� pn <br />whetfrer specit <br />viofa(e or canc <br />�erloimnnce o <br />work for whrch <br />296.200 WAC. <br />1 heve read <br />ns o( lews e <br />madc <br />State2ip <br />Phona <br />Slale2ip 3�-�i_,��3�0 <br />.. �,�.n�s (cl'�} <br />5tate/Zip <br />� /�U �.�. <br />Contrect Price cf Work <br />Conlact Person (Plan R2vlew) <br />(his applicntion and know the some lo Le tnle and <br />�oveming this type opf woik will be completed <br />�te p loc S�a4v regulaf/ng cunsfrvct/on o�r tf ery �� <br />ized Ay fhe owner of thrs p�operry to pe,4onn the <br />i„ �„��ti �h„ .Ctnta Cantmctors Law 9827 RCW and <br />� <br />FEE <br />�� l_.,'�C''� <br />Phone <br />�i3�J3-��`�; <br />; <br />