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ELECTRICAL PERMIT APPLICATII <br />CITY OF EVERETT PERMIT SERVICES <br />320� CEDAR STREET, EVERETf, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />,�9i0 /Sf�^Sf F_�de�c{�U/� 90 ab( <br />PROJECT ADDRESS <br />� n u)or <br />Owner <br />Tenant <br />Mail Address <br />Matl AdAress <br />G� <br />Ciry <br />City <br />g $-�2i <br />Stale/Zip <br />StatelZ�p <br />7��7 -07 <br />Phone <br />Phone <br />� � �� <br />EledricalConlractor PAadAtldress Cdy Slate�Zip Phone <br />Slate License Nurnber <br />Ga ���.,� <br />Proposed e of Building <br />��� '� `�J`q <br />Square Foolage Qf residential new construction, remodel or adddion) <br />�,. , <br />Description o! Work to Be Done: �����j �� � S <br />NOTE' WIRING IN NON-DWELI.INGS IS REQUIRED TO <br />[3E IN RACEWAYS, MC OR AC CAOLE . <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Contrac! Price o( Work <br />Con'act Person (Plan RevievQ <br />I hereby ceRily f/rat 1 have read dnd examined Ihis applrca(ion and know fhe same (o be hue and <br />conect �lll provisions o/ la�vs and ordinances govemrng this type ol woifr will be complefed <br />whether speci�ed herein or noL The gran(ing of a pemnt does nof presume lo give aufhority to <br />violafe orcancellhe provisions o/any o(hersfafe cr loca/law regulating cons(�ucUon orthe <br />perlomiance ol construcfion. That 1 am authonzed by (he ownero(fhis �operty to perfonnlhe <br />worlc (or which application is made and I comply wifh the Sfate ContracPrs Law 18.27 RCW and <br />296. 200 WAC. <br />�FEE <br />I 75 °� <br />�1303 - b�� <br />