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ELECTRICAL �'ERMIT A,PPLICATI�N <br /> CITY OF EVERE'1`f' PERMIT SERVtCES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> APPLICAYIONS�nc ACCEPTED FROM 8 AM TO 4 PM <br /> �QO � 3 ��'-``' �'f� <br /> PROJECT A�DRESS <br /> L���� 2g � .� ��� � / � g��� <br /> Owner Mnil AJdre:s Ciry S Phone <br /> / l �vV <br /> TCnant _ MailhdJreas Crty Stale2ip Phono <br /> ��- ls���i��� i/ �26.S���P1�����U�1�I`/,�,�v���a,2 <br /> ElearIc2lContractor hlannddmss Gy �;�,r�p Pno� <br /> PreG l�e � �d�/G � �'�000 <br /> tale Llcenr,e Num6er ContraCt Price of WOAc <br /> �1,� W �► � , � C�� r/�j,� D!� <br /> Proposed Use of B ild' g Conta Person (Plnn Review) <br /> �l � <br /> Square Footage(If residon6al new Cpnstruction,remodel or addihon) <br /> �escnption of Work to Ba[�no: ��D G�'I� G(j /I el�V �2QdCC���7j 2J/,2 S�-/`�� <br /> tJOTE WIRING IN NON•DWE�UNGS IS REQUIRED TO FEE <br /> 4E IN RqCEWAYS, MC OR AC CAB�E, - <br /> �� � ���� , <br /> CITY OF EVERETT LOCAL 3ALE3 TAX CJDE IS 310.5 � <br /> !he»by cordry U�af 1 hovo reod and examinod Uvs applica6on ond knav Mo seme to be hue and <br /> a�nutt. All provisions oflow5 Bnd Wdi�ancesAo veminq ih�s typcs otwnrk will bo.compla(ed � � ` <br /> whothor s�ivcified herL�in a not. 7Tw grantlng Of a permrt does notpresume to yrve authonty(o �: I, —� ���:: --- � �� �•� ��- <br /> vi�uatv Or cAnCB!th�i{�rovi;i005 of ar�y othCrSlJtO OrlocallOw IB,yulaGng conshuchon or Mte � � <br /> poAormanen o!construc6on. Rraf I am authodzad Ay(he rnvner Of thisp rope�fy to pe�dorm fho � <br /> wnrk/or whir.h appllC9lion is mode and I Cwnply with(ho SYeto C�ntrAUars Law 1827 RCW and <br /> 2DG. 00 WAC. <br /> � (p �- I /� <br /> I ipnature Date <br />