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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.evereltwa.org <br />APPLICATIONS �4RE ACCEPTED FROM 8 AM TO 4 PM <br />�d'�f � G9E1"r'foK_f. /�UG= <br />PROJECT ADDRESS <br />Q-au-o7 <br />� 070 9-/yY <br />�-?os� l` � �,��g�;� C�gY,¢t�� �1/�rr ��- `��'�o/ <br />Owner IAail Address City Stale/Zip Phone <br />%` �I /./-a�� <br />Tenaot <br />��� <br />N �„<tW �1�� �S�rf� � 7�0% <br />Mail Address <br />�.,� _ a° �� <br />Eleclrical Conlractor Mai! Address <br />�F"rt �-(��T� ( o `��� <�n� <br />Slale License Number <br />f.-Q !.J Ff�R'�( <br />Proposed Use of Buildin� <br />Descriplion of Work to De Done: <br />City <br />C�t��lU� Sr ,�, <br />Cily <br />s����2iP ,�Ph�S,� <br />��;T ��/,a- �-908 <br />StalelZip Phone <br />,y �!u 5 v v _" <br />/C,ontracl Price f Work <br />l.. M1�'l � '�t�J�F'i� iril'� <br />Conlacl Person (Plan Review) <br />i1��'- .{:- � nIS-T�kr�— ,E�c�-�IG'�-'-- <br />lhf z OI�T�� ��J `L' COL-/r/�J��T�'�-� f1.00� <br />NOTE: WiRING IN NON-DW'=LLINGS IS REQUIRED TO <br />6E IN RACEWAYS, M� OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TA% CODE IS 3105 <br />1 hcreby r,cAil}� fhat I have reaA and examined this applicafion and know fhe same to be true and <br />conecf. All pravisions o!laws and ordinunces goveminr� this type o/ work �vill be cornpleled <br />whether specilied herei�r or noL The granfing ol a pernuf does nof uesume lo ,qive aufhonty to <br />violafe or cancel the `vovisions o(an}- ofher stafe or localla�v regulafin,n, construcfinn or fhe <br />performance olconsfruction. Thaf I mn aidhorized by fhe owner u(lhis property to perlorm fhe <br />work lor w'iich application is made anA 1 compty �rifh Ihe Stafe Contractors La�v 18.27 RCW and <br />296.200 WAC. � , <br />FEE <br />� .� . <br />L,� :"-^e ��,Gi(��Y-�r�L 7i/A �, C� ;z' �.--C�I O�- ���{ <br />