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� <br /> r�~ �. ... f; . � . . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI`CES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��f� � I����, C, � �`,���-- <br /> � � <br /> PROJECT ADDRESS <br /> , <br /> � 02, [:�.`�. fVlr,�.��� � ��'�, � 1.�.) �- ' -�..�?��5� <br /> Owner Mail Address City State/Zip � Phone <br /> Tenant Mail Address City State/Zip Phone <br /> ��� � <br /> Electrical Contractor Mail Address City State/Zip Phone <br /> � �1�1�-t.,��u�T t,� Q3�_.l.s� ��e�c, . _ <br /> State License Number Contract Price of Work <br /> �-F�� C�f�`�l/1�� �T���� rl �-�..Qt.t. �11� <br /> Proposed Use of Building Contact Person (Plan vi w) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: � ►v �1 ��� � ��jt� � <br /> �1�,�� � `���., ��c.�,�.,�-s <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. � �� `�O t <br /> € <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certify that l have read and examined this application and know the same to be true and ��D� r ��� <br /> correct. All provisions of/aws and ordinances governin�this type of work will be comp/eted <br /> wheth. ecified herein or not. The granting of a perm�t does not presume to give authority to <br /> viola el the provisions of any other state or local law regulating construction or the <br /> perf r anc f construction. Thaf I am authorized by the owner of this property to perform the <br /> wo f w h application is made and I comp/y with the State Contractors Law 18.27 RCW and <br /> 29 .200 C. c-1 <br /> ��J ti!V`d-'r � <br /> - �- �� _ � � <br /> 'gna re ate <br /> . � <br /> , <br /> `� <br /> �`, <br />