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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVEREI7, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� �� �S� ��r`�,�C� ��1�/� 1�✓� �='1����1` �1�� %� 2�� <br />PROJECT ADDRESS <br />Owner <br />_ �� 1�- <br />, <br />Mail Address City <br />�� <br />Mail Address City <br />r <br />� �Z�I�Z(� SL �%v5i ��i <br />Eleciri4 I CoNraclor Mail Address <br />� <br />'�,�;,�.i � �.�� ,�� <br />Stale Liconse Number <br />Li� t,�/Z la�T// <br />Proposed Use of Building <br />ary <br />StatelZip <br />State/Zip <br />G'✓/ <br />Slate2ip <br />� ��� <br />Cuntract Price of Work <br />Gonlacl Person (Plan Review) <br />Phone <br />Phone <br />��S�D <br />Phone <br />/ <br />Description of Work to Be Done: L-'!1�L�O G'� %�t/!'/ � � Cl� � �/ � j s 0,� �� �Cf ���j <br />CY'it.�C1 Git/Sb7i �_-r,> /�; r/ �� F/,c� 52/ /11 S <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 31D5 <br />1 hereby certi(y that I have read and exarnined this application and know the same to Ue true and <br />correcL All provisions oflaws and ordinaiices goveming fhis type o(work will be completed <br />whe0�er specified herein or noL The c��anting o( a perrnit does not presume to give aufhonty to <br />violate or cance/ the provisions o/ any ofher stafe or local law regu/afing consfrudion or fhe <br />pedonnance o( construc(ion. That 1 ant authonzed 6y the owner of this property to perfomi the <br />�rork /or �vhich application is made and 1 cornpty �vith the Slate Confiactors Law 18.27 RCW and <br />