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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES �j,�j ; <br /> 3200 CEDAR STREET, EVERETT, WA^8201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , , i <br /> ,��, �i � -„ �^ �i;- �<<! �« /G� ��c'r�7L`� `��3G</ <br /> PROJECT ADDRE$S <br /> �1v(5'7-s�/ <br /> , <br /> ' ,c�-/ f� � <br /> )i �iE�7r�i�,� �'������s ���� -��,���ri � S �5/ �i �� .��95i <br /> OWner Mail Address City � State/Zip Phone <br /> �C���S�r'✓'r �Sn-r-l1-°S LLC i//���17i��,- ,�e`S�r'ic�� L-vT I�3��5� <br /> 7enant Mail Address city staterzip J anone <br /> , / �/,♦�� <br /> '�n � - �'il,i;i '' ��,v4.0�1�:' �l/�,=" )��i��»S l C'r� 1���55� 33�/�/ii� <br /> -� <br /> Electri I Contractor .. Mail Address Ciry Stata/Zip Phone <br /> �-'; � ���= ;r. c��''�'(� `' -( � ��/'L> <br /> State Licease Number Contract Price of Work � <br /> 7 <br /> ;;_ "�`/� � �''�i�alr�1�, l�'l'L f,�'l"�� <br /> Proposed Use of Building Contact Person (Plan Review) � <br /> � �s <br /> Descriptlon of Work to Be Done: - /�'��i � r / -5 T/"� % CC ��� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 � � „�„�q !�� <br /> �+as � <br /> 1 hereby cettily that 1 have read and examined this application and know the same to be true end <br /> correct. All provisions o(/aws and ordinances governing this type o/work will be completed <br /> �w'iether specified herein or not. The granting of a perm�t does not resume to give authonty to <br /> viclate or cancel the pr'ovisions ol any other state or local law reguPting construction or 1he <br /> peAormance o/construction. That 1 am authonzed by the owner of this property to peAoan the <br /> work(or which application is made and I comply with the State Controctors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��� /� <br /> � . '�! ',��/ d ��;� C/ � <br /> � �- ignaTure ' Date <br />