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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SEkVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 � �'j ,_,p 6 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PA'I ��6�� `00 � <br /> '� =>l.� �������.('w���� li; � �_ <br /> PROJECT ADDRESS �f�,- .��� J_ <br /> l � <br /> /� � <br /> %� �4t1� ��A r �1�7 C����� (_�/ aL5 � ✓�� / �CiJ�2.t."l�i �!/��/ `�" Lf'�—'� / �,,� � <br /> Owner Mai�Address CHy SWte2lp Phone <br /> Tenant Mail Addrees Gry Slafe2lp Phonc <br /> 7 <br /> ��- ' �` /�7t�C'� <br /> ._ ,� _ -- > <br /> Eleclrical Conira or Mall Aadress Cify State2ip Phune <br /> State Licensr. �Jumber Contract Price of Work <br /> Proposed Use oi 8uilding Contact Person (Plan Review) � <br /> Descrlp0on of Work to Bo Done: ��Cti]/L._�,_L 1 %C�LA ! ti��''� `� ����� S �l-j`G1�t� <br /> L�� � lz�.C<f Tv �nr�.�_ah - <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF C1'! RETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily Ihat 1 have read and examined this application and know 1he same to be frue and U��� — �� <br /> correcf. All provisions ollaws and ordinances goveming th�s type o/work will be complefed � <br /> whether specibed berein or noL The pranling ol a pemuf does no(presunre fo give aufhority fo <br /> violate or cancel fhe provisions o�eny ofher sfate or local!aw regulating construcfion or fhe <br /> peAormance ol construcfion. Th2t I am euthorized by the owner o/fhis property fo perform fhe <br /> work lor which applicafion is made and 1 comply with the Sfa;e Confracfors Law 1 B.27 RCW anA <br /> 296.200 WAC. <br /> ��;�'<( � ,���`i� � / ' � " �� � <br /> ' SiG/iaWrr - DBIC <br /> r --" <br />