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ELECTRICA�. PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everetlwa.org / `3�� <br /> b <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �/�6�,.Das <br /> �'_ �. 7C "j� ,u.,,� ., ��, 5,,,;� C�- <br /> PROJECT ADDRESS <br /> ��� <br /> Owner Mail Address Ciry SlalelZip Phone <br /> ��"�'�\-C L F!a s � /� ) <br /> Tenanl Mail P.ddress Cily Stale2ip Phone <br /> �(ru <br /> Ul,�� l:- �Fc�>>„� ��e�pLl S^o,�t .� (��f ��-�D �MG�lhl �.�,��t.�v ..1/a L���-2� (oS'9oi11 <br /> Elaclrical Conlraclor Mail Address Clly State2ip Phone <br /> UI.i� CL�i�� !.iS � V ��Zao <br /> Slale License Number ConUact Price of Work <br /> �,tst���+r�r ���.l�u QLt 'lba (�;� � <br /> Proposed Uso of Building Contact Person (Plan Review) <br /> Description af Work fo�o Dono: C� �`m�;� vG �1 Fd'�- �-��C1'tE C�/a S G-�� �-5-�� �'�^'� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certi(y tlmt 1 have read and examined this app/ication and know tho samo fo be i�uo and !-�'/�1� _v� C` <br /> correct. All provisions o(/a�vs arid ordinances goveming fhls fype oI work�+�ill bo complefed �� w .C.�� <br /> whether speaGed herein or not. TAe granfing of a pemut does not �resume fo givo aufhonfy to <br /> violafe or cancel the pruvisions olany ofher stafe orlocal!aw re�ulating construction or(ho <br /> perfamance o/constn�ction. Thaf 1 arn authorized 6y fhe oH�ner o/fhis property to pedomi tho <br /> woik!or�vhicb applicnfion is rnade and I cornply�vith fho Sfate Confracfors Lntv 18.27 RCl1'and <br /> 29G.Z00 WAC. <br /> ��� 1 <br /> ��,�'�._ �`� 3��, <br /> Si�naWre Date <br />