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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 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �-� �' L,!� � '7 ,/ <br /> � <br /> � �-� /✓����li������:��—� <br /> PROJECT ADDRESS <br /> 'v" <br /> �Jii�iUi���� !�/ �;-; %t;t , ��� � ,�,� y�s�sr-9�� <br /> Owner Mail Address City State2ip Pho:.e <br /> f/ <br /> j 1�1t��� -- <br /> Tenanl Mail Address City StalelZip Phene <br /> ��/,�1�' /l/P/�l' ����,�'t�� �/��"�.�'� G1�._ <br /> Eleclrical CoN�aclo� A7ail A�ss Ciry Slale'Zip Phone <br /> rl����� i�9/w��15C���c� <br /> Slate License Number Conlract Price of Work <br /> ,� <br /> �. i <br /> ���ll�i�/f��-�/��'-� <br /> Proposed Use o(Building Contact Person (Plan Review) <br /> �_ � . <br /> Description af Work to Be Done: ��7L ( /� V b��,1/�' <br /> NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heroby certi/y Ihat I have read and examined fhis applicafron and know fhe same fo be frue and � L�c�p� .v��C:- <br /> r.ontcL All pravisions o/laws and ordinances�ovaming this type ol work�vill be completed <br /> whe(herspeciHed he�ein ornoL The granfi��n n�a pei:t�d does nol resunie lo c�ive aufhorify fo <br /> violate or cancel fhe provisions o/any other sfate or lor,ai iaw reguPfing construchon or the <br /> pedormanceol construction. Thaf 1 am aufho�ized 6y the owner ol this property fo perlomi fhe <br /> woik lor which';applicafion is made and I cornply wifh!he Sfate Conlracfors La�v 1827 RCW and <br /> 296.200 WACi , <br /> ; �.� , <br /> l � <br /> �i;%i�" ,�/�7�% <br /> r ; i a re � D <br /> ✓ i .. <br /> � <br />