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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERiIAIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />7C� 3z, 3��r�� <br />PROJECT ADDRESS <br />L�NI� <br />'7 —tD_6g <br />�o SD6 -i o�f <br />�fZS -3y7 -6`�3( <br />mj�,�« /�E�s 7d.� gNN1� �o,�� ���- l�/�-- �'8�� 3 <br />Owner hlail Address Cdy SlatelZip Phone <br />Tenant <br />A1,�d Addrr•ss <br />Coniraclor I.Liil Addmss <br />St�le Lir.ense Num�er <br />%� ES. <br />P�oposed Use ot �ullding <br />Description ol Work lo Be Done: <br />Cily <br />GIy <br />SlatelZip <br />State�Zip <br />Contracl Price or Wark <br />�3rM �/%Jn`��/� <br />Contac� Person (Plan Review) <br />Za6-siv- v�33 <br />�c�_ �a� r�ii � /}5sar; � �J��'�' <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />B[ IN RACEWAYS, i�1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 6e�eby certJy fh��t 1 hava read and exarnined fh(s npplica(Ion ��nd know fhe sarne fo be Vue and <br />conecL All p�o��isio.�is o/ laws ��nd o�dinnnces �ovoming (his fype ol �vork �vill be romplefed <br />�vhether spcci6ed hrrein or no(. The granfinn o! a pe�nuf does nofl;iesume ;o nive authority fo <br />wolafe or cnncel (he piovisions c! any ofher sfate or local law �egu ating consfructien or the <br />perlomiance ol consf�uction. Thaf 1 am aufhoi¢ed by fhe ownrr ol fhis property lo perform the <br />work !or which applicalion is made and 1 comply wdh the Sfate Co��Vactors La�v 18.27 RCIN and <br />zss.zoo wnc. <br />�-�--_ �-/3 -1 c"3 <br />--- ��,.,a --- -- u,i�--- <br />Phone <br />rnane <br />FEE � <br />, <br />�7 _�G � <br />j �)�s� I <br />