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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERE'TT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetU.va.org <br />APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br />�81'L 3e���le�� �V�. <br />PROJECT ADDRESS <br />Ma1lAddmss <br />Clly <br />Slale/Zlp <br />u�� C'I �l <br />ly�lll,.l�l <br />Phone <br />�o �e L �Nn ��71 /2 6e,lv��r� ��,-��G1t ��,��►4 9'e�t� yzs-87c.�-o5�1 <br />Tenanl Mail Address City Slale/Zip Phono <br />�.-.l e�cl ya F/�c'In �c. �/�/l�j C-r'nuo f{JE. �V� ��JIT �d''43 �/ZJ•7yo- <br />EIBCirical ConlfaC�or M11ail Address Clly SWteIZIV Phone <br />�- �-Ew F E� 9 i 9 O �L� <br />Slale Llconse Numbor <br />Proposed Uso o( Building <br />Contracl Price ol Work <br />Conlacl Person (Plan Roview) <br />Description ol Work lo Bc Dond%� YN � �+'�u— N �� G i RG�� � T' %O L.�1ur�dry _ Lo..�Nt�A- T'q� -_ <br />GFc..T.(N•+�) �L� zasr��� 3wny Sw:+�.�.:'L'i r1NJ 5 L;7ht_Oia.hla.K/L�41.�Y <br />/F� L��r.rll. S��c Co�1 =KiSI�r�� Cil`c-a��'f <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br />1 he�oby cerlily fhaf I havo reaa end examinod fhis applicntion end know fhe seme fo bo fruo enA <br />corrucL All provislons ollaHs ai,d ordinances govemmp fhis type ol work will be completed <br />whether spar,�lioA herein or noL Tho granfing o( a pemuf does not presume to give authonty fo <br />vfolofa or cancel the Provisions al any otheY stnfo or locnl law regulefing concfruction or fbo <br />perfomiance o! construcfion. Tliel l am eufhonzed by flie owner o/ this proporty to peAomr fhe <br />work !or which applicafion is mado and 1 compty wilh tho Slafe Crntrac(ors Law 18.27 RC W and <br />296.200 WAC. <br />C. <br />,��-2�- 20 ( <br />FEF. <br />