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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 />_>>i � � J. u C �ir'� � �t/G. �e�lc�- /( <br />PROJECT ADDRESS � <br />Owner <br />Tenanl <br />Idail Addmss <br />Addicss <br />City <br />City <br />Slatc/Zi� <br />Sta�e/Zip <br />I— i2 —io <br />ClCL�1-C��% <br />Phone <br />Phone <br />ff ll �o�ns�s S-<„rti �7/Z �G� S�- EvrJ-r-vT�� ��1•i- %`��c/ �7�5-?00. <br />Electrical COnliaclvr Atall Address City Slate2ip Phone <br />�iL!/�Ol�S J� )K.'7 `�'����, <br />Stale License IJumber <br />Proposed Usc ol Buildiny <br />���a <br />Contracl Price of 1Nork <br />Conlacl Persoi. (Plan Review) <br />DescriptionofWorklo(3eDone: �i+3i��� ��i�e�.��a�m � .//o�,i-S 4���1 �rn <br />i <br />r/7''rl',c/' , %n'i: q .�r,'t �/� <br />NOI E: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />I hereby ceriily fhaf 1 ha��e read enA ex�mineA fhis applicafion and know Ihe sanie fo be frue nnd <br />corrncL All provisions o/ laws and ordinances govemmg th�s f}�pe o! a�ork ivill be complefed <br />tvhefhe� speci6eA herein or noL Thc �ranting o/ a pennrt Aoes nof �resume to gi��e aufhonty fo <br />violaloorcancellhe pi�ovisiensolarp-ofherslateorlocallawrac�ulntingconstrucfionorfhe <br />perlormance o( construction. Thaf I arn aufho�ized b}� the o�sner o/ fhis property fo perfonn the <br />reorklor �rhich applicnfion is rnaAc and 1 cenrply u�ith the Slafe Contrac(ors Law 18.27 RCW and <br />296.200 INAC. <br />_ — --' / "� <br />r-ee <br />C I L'C'I - c�.'-� <br />