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ELECTRICAL PERMIT APPLICA�'iON <br />CITY OF EVER�TT f'ERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetteva.org <br />AFPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�6�665 c6'�'� a,,e �.s1- � v ese�-�k 4� (l� ���-.o� <br />PROJECTADDRESS ' <br />Owner <br />Tenant <br />�J�•�.�5,1�. C�e�{�-c. <br />Electrical Conlraclor <br />Pdail Address <br />Mail Addre;s <br />� a Y�a�. �\\� <br />Mail Address <br />nILC L,� ILG �t-1 o klL <br />State License Number <br />�--�a <br />Proposed Use of F3uilding <br />Square Footage Qf residenlial nev✓ conshuclion, remodel or addilion) <br />De;cription of Work l0 8e Done: T� �q��`^"-`r <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED 10 <br />E3E IN RACFWl+YS, MC OR AC CA6LF. . <br />City <br />City <br />L•�v�woac� <br />CAy <br />�i-�'� <br />C i����`�J <br />StalelZip <br />SWfN'ip <br />w� y�3a3� <br />Slalc/Zip <br />aS 60.� <br />Contract Price of Work <br />Phone <br />Phone <br />({1.i` 141•1 C <br />Phone <br />Contact Person (Plan Review) <br />CITY OF E`/ERFTT LOCAL SALES TAX CODE IS 3105 <br />I herc•by r,ertily fho( I have rcad �,r,d oxaR�r�,��i tn�s .�nrr�;��no� and know the samr. to hr, fnm and <br />cnrrect. All prov�sions olla�vs and ordinances govr,ming (his type o/woAc will be comple(ed <br />whether speci�ed hcrcin nr not. 1 he gran�ing ol � pmmrt does not �rr,sume lo �ivc aufhonly lo <br />vio/afe or cance/ fhe ryovisions o/��ny ollmr sfafe or/oca/ la�v rr,gul�linq conshuclion or fhe <br />pedonnance o/constn�r.lion Thaf I aru aulhanmd by Ihr, o�vner o/fn„ uoperty (o perlonn the <br />woik lor which applfcafion is rnade and I cornply wifh (he Sfa(e Conhac�o�s Law 18.27 KC W and <br />?.96.200 WAC. <br />� � <br />- �� �---- <br />- s���,,���,�� <br />`� � z�6' J �z o \ w <br />ElZda-!55 <br />