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Fmn�.Rlchaiti oigHo:: Faa'.i=5J1'-9'JQd24 Tv. <br /> Fa:: N �425i:57�B857 Page ? ol I ]12i+^013 I:IC <br /> r-- -- I --- --- '� <br /> I <br /> I ELECTRICAL PERMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES I <br /> ! 3200 CEDAR STREET, EVERETT,WA 98201 Z ..a�-�3 <br /> 425-257-8810 - FAX 425-257-8857 —www•everettwa.org <br /> �/3o��i85 i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i <br /> � �3� ! � '''/�v� SC �"D , �vere�- `I�zc� <br /> PROJECT ADDRESS <br /> \f-� G�� ��d�� �iZs�b��13S <br /> Ownef MeilAddress Cify �tate2ip Pho�n <br /> �� Tenant Mail Address City Statc/Lp Phone <br /> c (�r��M b�\ �� R�� C3 �TAt�� wl�-��� 2S'�S31z`1�1� <br /> Flectncal Contractor Mail AdtlresS City SlatofLip Phonn � <br /> i I <br /> � e�3 -i�� � 1 �1��, 0� <br /> I State License Number Contract Price of Work <br /> c.�l ct'1\\v � 5��`I e;c �-�� �;ke��,-' <br /> i Proposed Use . f Building Con[acl Person (Plan Review) <br /> ISquare Footage(I(residential r�ew construction, remodel ar addition) <br /> DescnpGon of Wodc to Be Done: CTi.`�"'�l` ������� �" ` � ��' I��YC� �1` ��1�,�� <br /> � 1C4_w ��1�- , � nS���I�o�1c���11'�`�1� c��(`�l�Ml ftn . � ►�\�n l� �1�,�� <br /> r'N�� �l` �i1�"' ���L���(`� �� �v11�1n`��'�l�n • <br /> � NOTE: WIRING IN NON-DNiELLINGS IS RE�UIRED i0 FEE I <br /> � BE tN RACEWAYS, MC OR AC CABLE. ��p <br /> ICI1Y OF EVERETT LOCAL SALES TIil(CODE�S 3105 <br /> 1 nereby ceRily Ihof 1 have read ond uxemined this npplication and know the same lo be frun and E �3 1 � <br /> .orrecf. lll/pruvisions o7laws and ordinanr.es govermny fhis lype ol work wif!ba compleled _ ' � I <br /> whother specdiod he�ein or noL Tha g2nting of a permrt does nof presume to give authonty ro C, � � <br /> viofafo or concel the provisions of any olher sfatn or loeel law regulnfing construction or fhe i <br /> puAormance u7consfruchon. Thaf 1 em authorized bylha owner ol Ihis property to pedorm fhe <br /> work Ior which application is made and 1 compty wdh Ihe Sfafe Contrar.lo�s Law 18.27 RCW dnd i <br /> 29G200 WAC. � <br /> � �/� I <br /> j __. <br /> i S j tn —�J <br /> � . . .. . _ . —_—__ <br />