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ELECTRICAL PERMIT APPLICATION <br />CI"(Y OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 c'� �� <br />425-257-8810 - FAX 425-257-8857 — wwv�r.everettwa.org ,�j <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�_l �� j j ��1s �',�� �� i:'I <br />, <br />.�<<�,�- -, ,-�,;�t���� ��� �- ����� �r ,,� - <br />PROJECTADDRESS <br />Owner <br />Mail Address <br />Ciry <br />>r <br />��(> j.`-i- � �l <br />State�Zip Phone <br />�� w�a,r����c`� <br />� 1 Phone <br />Tenanl Mail Address City StatelZip <br />r� �„ _ <br />J�� L i 1� I�' 1�Jt�1-1��V1s IL-1 z C�`�� 12 lL 1''.0, �7'�Y� Lj7 Z)�11 i/�i 11.. �Z �.�-1 �'_l-�73-7, �"i <br />Mail Address City State2ip Phone <br />ElecUical Conlracfcr i <br />� � � <br />l�.k-'t �`1� t��,"�`I �il Il � I 6 k 1, �:�' �� 7� L i� <br />State License Number <br />Proposed Use of Building <br />Square Foolage Q( residenlial new construclion, remodel or addition) <br />� <br />Cil ��V L• lJ <br />Contract Price of Work <br />Conlacl Person (Plan Review) <br />� � � i r <br />Description o' Work to Be Done: �� 1 � I�%�� �m E/�'(i' ft L l/ �� ��� �' ��`� <br />NOTG: WIRING IN NON-DWELLINGS IS REQUIRED 1'O FEE <br />DF IN RACEWAYS, MC OR AC CABLE . , �- L�� <br />-I (�'�; _ _, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />r.orrecfy All p��ovisions olla es and oelinances g veni�iig flil s type o�l work'�vill De cooiplet d a��� ('���(; ".7 /��� <br />�.:hefher speci6ed herein or not. 1 he granting oI a pernnt does notp rF;sume to give aidhonty fo <br />violate or cancel (he p�owsions o7any other state orlocal la�v regula6ng constnrction or!he <br />per/onnance o/consWcfion. That 1 am authorize� by the o�vnr.r o/ tlus property to peifomi thu <br />ivork lor wh�ch aoolicafion is made and 1 comply �vdh fhc 5(atc Con(racfors La�v 18.27 RCbti and <br />296.200 WAC. <br />,, J <br />