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� <br />` <br />ELECTl�ICAL PERl1�[T e4PPLlCATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - 1=AX 425-257-8857 —www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />ZGI� Z��� St� r�!o;riv.t�i 1/1�(� ���/.�� <br />PROJECTADDRESS <br />�H�k Sr1oR�V" �`11G� iIs'" ��. r��2r,�',�'� <br />Owner MailAddress Ciry <br />Tenant <br />(�1,���-- <br />Electrical CoNractor <br />Slate License Number <br />Proposed Usc o( Buildiny <br />MadAddress <br />Idad Address <br />Squarr. Poolage Qf residenlial nev� r,onslruclion, remoJel m adddion) <br />Ci�y <br />City <br />►I—a-�—�Z <br />C���'"��� <br />qzs- 44� - z��o <br />StaterZip <br />S�ate/Z�p <br />SlatelZip <br />Contract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Phone <br />Uescription of V✓oik to f3r. Danc: �`�')�(\ �n�4{ � f�•! t�G� l.,:C',•I� IU'���' �' : 1 S'�1�t 1_�_�'Ji�i)��_i <br />��i��i�,'�lL1L:S�_ `� f ti_1�D'1 - ---- ------�Q��-�' i'_S --` - � <br />0 <br />NOiE: WIRING IN NON-DW[LLINGS IS KI:QUIRI=D 10 <br />131: W RACEWP,YS, MC OR AC CABL[ . <br />CITY OF EV[RETT LOCAL SALES TAX COD[ IS 3105 <br />l lreie6/ ceRily (hat I have rr.ad and examined (his applicafion and Imow Ihe same fo be true and <br />r.oirer.l. All p�ov�sions o//aws and ordinancr,s govemmg Ihis type ol work wtll 6e compfefed <br />�rhr.lhcr spr.cdied hcrein or no(. Thc yranfing ol a pr.mu( does nol �resume (o give nulhorily (o <br />vio/afe or cancel the provisions ol any oNie� slafe or focal law iegu�a(in� conshucUon or Ihr <br />pedonnanr.e oI cons(nicfion. Tlra( I arn aulhonreJ by fhc ov:ner ol (his �o�c�ry ro �e.io���� rnc <br />v+od� /or yrhicN applica(ian is made and I cornply vnlh the Slafe Con6acP�s Lavi 18 27 HC W and <br />—�C��/------ --- -/%�/�// % <br />G�c o;�i� <br />fEE <br />So — <br />