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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PEi2MIT 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 />G%cJ /�i % T�� /� r/L (� ✓L 2 C T/� <br />PROJECT ADDRESS <br />�.. �9-i/ <br />��io � -c� 3 <br />'o�l '; r� � G L;��'i- �i�iS ��"/IdE �= �c,�L-r/ i,JF- -z0 �l y� <br />Owner Mail Address City Slate/Zip Phone <br />Tenanl <br />Mail Address <br />Cily <br />St2telZip <br />Phone <br />i �c F�c-cr2�c 1�rc 29, �,��,�,� ,�� C9rnA,cf� s� ���sz�� <br />Elecirical Cor.irector Mail Address Ciry S1ate/Zip Phone <br />�/�S 220/�/ <br />� ",'_ r 1 9/-1 'L ra/G �yr� <br />Slale License !Jumber Contrect�Price of Work <br />Proposed Use of Duilding <br />Contact Person (Plan Review) <br />Description ot Work lo Be Done: l N5T // �iSC l7/f//✓�G / FO/F' 2' %d f}i%l � <br />r/EAr /��/�ylPs O�r/ ,P�%F- <br />NOTE: �NIRING IN NON-DW ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />1 hereby certily fhal l have read and examined Ihis applicafion and know fhe same to be fruo and <br />correct All provisions o( laws and ordinances govemmg this type o/ work will be complefed <br />whether speafied herein or noL 1 he granfing of a perrnrt does nof presume to give aulhority fo � <br />violale a cancel the provisions o/ any other sfate or loca! lan� reyulating construchon or fho O� <br />performance o( consfruction. Thaf 1 am aufhonzed by fhe owner o/ this property to peAom� fhe <br />work lor which applicafion is made and 1 comply �vith Ihe State Contractors Law 18.27 RCW and ' I O I <br />29G.200 WAC. <br />