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—� -- <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <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 />7Bb� � �u��.� v�� <br />PROJECT AODRESSv <br />I-l�{-�3 <br />C— i3-o l- � 5�1' <br />� Pr��,.�h � U��- 1 b 5l 5 F�,,�,v. n.,r Wa.-i ��.�.. L-t– �/k � 3?� �! <br />Ownet Mail Address Gry SlatelZ�p Phone <br />�� W �.— oV� ^cCn W y�I?.-li� �J�' 1 S�/t✓ O <br />�..��n M1� GVcrG�l � � o �� �"`� <br />Tenant Ma: �ddress Ciry Sta1elZ�p Phone <br />�/ r� ��n�r�',n� ��27 �,� 1G,�y�r+ 5� . SFi;.bi"�. ,�,1 j� 'j`���� Zo6 �G3- 174�! <br />Eleclrical Contractor y Mail Address C�ry S;ale/Zip Pnone <br />��E12C t2L-�g2513 <br />State License Number <br />Proposed Use of Building <br />Square Foolage (If residential new conslruction, remodel or addilion) <br />Description of Work to Be Done: <br />VzvU�n.-4-r�r-. r� �v�r (�I <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE . <br />CITY :�F EVERETT LOCAI SALES TAX CODE IS 3105 <br />� Soo, o� <br />Contract Price of Work <br />� �i� �vlK-�t�-r� <br />Contact Person (Plan Review) <br />FEE <br />J����� <br />1 hereby cenily fhat 1 have read and eaamined fhis applicafion and know fhe same to be true and �I �n I_ f�SQ' <br />coirecL All p!ovisrons ollaws and o�dinances 9overnmg Ihis type olwork will be completed JV lJ ( <br />whelher specdied herein or not The granfing ol a permrt daes nof resume (o give au(honty to <br />violafe or cancel the �rovisions ol any other state or local law reguPling consfruclion or fhe <br />per(o�mance ol conslrucfion. That 1 am aufhonzed by fhe owner olfhis propeRy to per(orm (he <br />work for which application is made and I comply wifh Ihe State Confrac(ors La�v 18.27 RCW and <br />296.20D WAC. . <br />�1 / I'+/ I� <br />