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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�:25-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> Co30G C-a le.nn�,��ct�d ��E�• <br /> PROJECT ADDRESS <br /> {���n�P� Cl'�D.'��.�'�cti\5 ��}1(Li �l ii:�, ,C-il�i����»CCC� (�JQ �GvQYQI-���,1)a �1�7C ��5 �S� lll <br /> Owne� MailAddress Gty State/Lp Phona <br /> �� \\ l� /1 /I <br /> Tenant Mail Addmss� Ciry Stale2ip � Phone <br /> CI;Y���Yf�� �GtC�t iC. 22Z\ (��.1i�'t�rni �5{-lf-_v�,V �� � ��W �i5t701 �4?�� c <br /> Elecincal Contraclor Mail Address Ciy SUte/Zip - Phone <br /> \ JVf� ���'��� ����- �,�.l. C`� <br /> State License Number Contract Price of Work <br /> `�c.�\-e:; �l�i�n�_ G h l�tv�e.i e r <br /> Proposed Use of Buiiding Contact on (Plan Review) <br /> Description of Work to Be Done: lA l�AY�GIf� �Y /a C�t�1 ( C� Xi S�1 YW� 5' 1`t� l'1'7 <br /> . <br /> �R lx.V� t�.�'X�c`� �I e.VS�Oi'1 . <br /> � <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 3105 <br /> 1 hereby certi/y that I have read and examined this applicafion and know the same to be frue and <br /> correct. All provrsions o//aws and ordinancas govemrng fhis tyoe o/work will be comp/etetl <br /> whetherspecified herein orooL The granting ol a permrt does not presume to oive authonfy:o <br /> violate orcancel the provisions o(any ofher state or local law ragulafing constniction or fhe <br /> peAormance of conswchon. Thaf 1 am authonzed by the ownero(fhis property to pedorm the <br /> work/or which application is made and l comply wi�h fhe State Confractors Law 18.27 RCW and <br /> 296.2 WAC. <br /> L � <br /> �`I� � � ^ . � <br /> ignawre / ate n <br /> ,�Z�-� <br /> J <br />