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ELECTRICAL PERiVII� APPLICATION <br />CIiY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 <br />425-257-8610 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />���� �vu (-zG/� ��i C��"•�•L <br />PROJECT ADDRESS � <br />Ocrner <br />Pdatl Atltlress <br />� _ u-r� <br />Nad Atldress <br />�, � �� �' Gg <br />Cuy <br />C�ty <br />E'e�liical Contract�r` G r�tad nddress c�ty <br />d' �'y] .c [ � <br />��-�.�� �a��y <br />ate Lice e Number <br />Proposed Use of Bwldmg <br />Slate/Zip <br />StatefZ�p <br />State/Zip <br />/`���� <br />C ����� <br />Phone <br />Pnone <br />�o�v <br />Phone <br />���v � . r� � <br />Conlract Price of Work <br />c�.�-- <br />Contact Person (Plan Revie <br />Square Footage pf residential new construclwn, remodel cr addihon) <br />Descript�on of Work to He Done �� I�i G J�J- �� y-V �J �/� 7✓1 -�/� <br />C i' ! c�S Vl n'y�_27 -�'1 `A��`- --G,c r� v�. -�� <br />� -J}-_ r z <br />NOTE WIRING IN NON-DWELLINGS IS REQUIREO TO FEE <br />EiE IN RACEWAYS, MC OR AC CABLE. c� <br />�oa�sc� <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby ceR�Iy Uraf I have read and examined this applica(ron and know (he same fo be (n�e and <br />carrecf. All p�ovisions ollaros and ordinances goveming fhis f}�pe ol work tvill be complefed � � <br />whefher specdicd herem or noL The granGng ol a pennd does nof presume fo 9ive aulhority (o � � J� I- Q J <br />vio/ate or cancel the prov�sions ol any otherstale orlocal lmv regulafing conslnichon or fhe <br />perfomiance ol consfruction Tha( I am authonzed by fhe o�vner ol thisp ropeAy fo perJom� fhe <br />work for which applicalion is nrede anU I comply �, i(h fhe Sfa(e Con(rac(ors Lau� 18.27 RCW and <br />296 200 WAC. <br />� <br />,�� <br />