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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-3810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�8� 1 c���,�,�F�e �.�7, �� - <br />PROJECT ADDRESS <br />��� <br />owne� <br />Tenant <br />Contraclor <br />J/V� K�r�.s f. I 7� a F�,��; <br />,--� <br />A1a�l Address Cify <br />R1dil Addirss <br />�u-1irC <br />hlail Address <br />R�7-r. � ".� 9� � �� � -��-� <br />Slale License Number <br />o f-���e Sfl��� . <br />Proposed Use o( Building <br />City <br />D �O� .Nt- <br />SlalciZip <br />/t -L i -C' J <br />�_ � �;� /�7 �. OC� 7 <br />y���-9- 4�9 Y � <br />�c�re77�JA . <br />Phone <br />Slale2ip �J Phone <br />�I�J ��7�-��.�-, <br />: c.e7 04 - �i 8�-3 <br />- City Slale/Zip Phone <br />-Uy .a` � <br />, ���, a <br />Contract Price of Work <br />Con�acl Person (Plan Re��iew) <br />Description ol Work l0 6e Done�. 1�`i,$%A�(. (��jCP r nA7�1 7� %��('S� C �i�l��-c�% . <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, A1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA7( CODE IS 3705 <br />1 hereby cerf�ly Ihaf I have �eaA and exarnineA this applicaliun and kno�r the sanie fo be tn�e and <br />cnnecL All provisiuns ollaws and ordinances goveinmg fhis fype o/ �rork �vill be completed <br />nvhethe� speci/ied he�ein or not. The �ranting ol a pemiR does nol nesunre fo give aufhonty fo <br />violafe or cancel the provisions o/any other slafe or locallaw regulating construction or the <br />pciformance oI consfruction. Thaf 1 am aufhorized Gy the owner ol this property fo perform fhe <br />�rork lor whicb application is rnade and 1 comply with fhe Sfafe Contracfors Law 7H.27 RCW and <br />I29G200 lM1'AC. <br />� (" �. ��—� ,C�'z�! , . <br />FEE <br />�Ii�IL � C�V�'I <br />