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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � � �5_ 08 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �' pg��—Ob� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i C?S Z� ��r� .��� SC � <br /> PROJECT ADDRESS <br /> C"1/u-2�r1� � S�1 <br /> ��r�t�- �rv�muti �1�-vJ , 7��J(L-- �ozcv /`i� /fi/- Se , �< < w�� 1 <br /> Ovrner A9 Address City $�2�e/Zip �Z$_�S7—��/ 0 <br /> N <br /> Tenanl Mail Address City Stale/Zip Phone <br /> �lh.s ���� (���P� G S z3 G�c�F !'n� Sc� �303 S�� wn - i�13C 4i�/'�8s-�SG 3 <br /> ElecUic21 Conl�aclor Mail Address City Stale/Zip Phone <br /> ,�'�C.c= ) c�oC- ,u� �7;cr�o <br /> Slate License Number Contract Price of Work <br /> �I1.UlC— L'�'S �1i�1 I✓��/!l?�� � <br /> Proposed Use of Building Conlact Person (Plan Review) ! <br /> DescriptionollNorktoDeDone: �NSI��I L�'"l� ���1 W��'�L �f��X Ta ��� �/�'�-'���. <br /> NOTE: WIRING IN NON-DWELLINGS IS i2EQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br />� CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 � U�S J� _��� <br /> I I hereby certi(y(hat I have read and exarnined Ihis application and know fhe sarne to be troe and <br /> correcL All provisions olla�rs and ordinances govemuig fhis type oI work will be completed <br /> whefher specdied herein or nol. The granting ol a pennd does not presume fo give atdhority to <br /> violafe or cancel the provisions ol any ofher state or local law rer�ulafing construction orfhe <br /> perforrnance ol construction. Thaf 1 arn authorized by the owner oI this property to peAomi fhe <br /> work lor which application is rnade and 1 cornpl}��vith the Stafe Contractors Law 18.27 RC W and <br /> z96.2oo wAG. � <br /> � � p <br /> � GG�'�` �/ ��G'� �/�� /d c�J <br /> Sic7i al re U�la r <br />