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� — <br /> ELECTRICAL PERMIT APPL�CATION <br /> CITY OF EVERETT PERMIT SERVIGES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.ory <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> I S 2s /3�a o.-(�..a„ <br /> PROJECT ADDRESS <br /> (�qr4<<r pr�., HL 7 D�,v vc� /�v�_ S $..?{.f(� d c�(- zo6 - 7`3 -2�7G <br /> OWnef Mail Address City SWteZp Phone <br /> Q�ii-�c.0 Dr..�. 1�175� �3roh.Oc..y lLvt�.,(-�- <br /> Tenant Mail Address City StatelZip Phone <br /> t(IS— <br /> !Jf-fiY /1/COU CO 7700 ���i�isc✓ /4a' E�.t.CYf' (�- I.Qj�3 ]76 O ��f— <br /> Electrical ontractor Mail Address City StateZp Phone <br /> f�GrY�/N to �S-L3 ,P �pp. ne <br /> State License umber Conlract Price of Work <br /> S��'oiL S�LVL I�LO�/� � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptianofWorktoBeDone: %•�5�1 [L Cr1 5 ��,� faSiL.f Q (z) �,�SSy�� <br /> r''.v�!r� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> P <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerfily that I have read and examined this application and kncw the same to be true and <br /> correct. Al/provisions o//aws and ordinances goveming this type oI work will be campieted <br /> whether specihed herein or not. The granting o)a permd does not presume to give authonfy to <br /> violafe or cancel fhe provisions o(any ofher sfafe or locallaw regu/ating con5Wc6on or fhe <br /> peAormance of consWcf�on. That I am authonzed by the owner of this propeRy to pedorm the <br /> work lor which application is made and I comply wifh the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �/ .!/ � / <br /> 'ig'�r �re � Date (;� <br /> C � �� LU <br /> f � <br />