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ELECTFtICAL PERMIT APPLICATIO!V <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � a �-O 3—�2 <br /> 425-257-8810 - FAX 425-257-8857-v�nvw.everettwa.org � l ���� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � O ll� LUt�r�;��P�� �vC�� <br /> PROJECT ADDRESS <br /> Owner MailAddress City StatelZip Phone <br /> � " FI e✓� <br /> Tenanl Mail Address City SlatelZip Phone <br /> C'F1�'� He��,�, , uti� Ca,�'n� �o t�rx 3zoS �i�y �c� c� �Ut� ��lbC'b� `jZS�bz�-iZ�i3 <br /> Electrical Centractor Mail Address Ciry Slate/Zip Phone <br /> � E N�I hl� i— N'1`l � '>�;� 7' Z UI�• �%�7 <br /> State License Number Contract Price of Wcrk <br /> �C��G� I <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Square Footage(If residential new construction, remodel or addition) <br /> Description of Work to Be Done: ��1�?"G � I 2 �P �' �`��Y(1'iU`����t � ) — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereAy certify fhaf I have read and examined this application and know flie same to be true and ����I� _ /� � I ; <br /> correcC All Frovisions o//aws and ordinancos governmg this type af work will be comp/efed �� (i� <br /> whefher specilied herein or noL 7he granling of a permd does not presume to give aufhonty to <br /> violafo or cancel fhe provisions o(any ofher sta(e or local law regulafirg consiruction or fhe <br /> peAormance o/consfrucCon. That 1 am aulhorized,by fhe owner o/this property to peAorm fhe <br /> work(or which applicafion is made and I comply wdh the Sfate ConVa�fors Lavi 18.27 RCW and <br /> 296.200� . <br /> / <br /> / ,,,�, r��� `<i � /� - o� - l� <br /> C;gnaty� �ate <br /> ( <br />