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ELECTRICAL PERMIT APPLICATION <br /> CITY OF FVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET. EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS FRE ACCEPTED FROM 8 AM'f0 4 PM <br /> 3 �2� 13R��+DV,�� <br /> PRO.�ECT ADDRESS <br /> I-►FM.1N �c�t� O�fi✓t��f — <br /> Ownef MailAddress Ciry StatelZip Phcne <br /> CASCh�F /L�H�611,IyATii✓ A'SSOCI¢7fs � <br /> Tenant MailAddress Ciry State.2ip Phone <br /> r/M/��LS+f�✓ U/4� l7,fs V1`3�fLAX� AJ{ �,1. sF��`/� t,rW 9d�o9 (rrs)�s2-o�►a <br /> Electrical CoMrador - Mad Address Ciry State/Zip Phone <br /> �✓AToSc�)rq13 ZSO.00 _ � <br /> State License Number Co rac.Pnce of Work . <br /> Proposed Use of Buildmg Contacl Person (Plan Review) <br /> Descriplion of Work l0 8e Done: (r5 rM't- 0�� ���uny.J�}-/{•rj f/.rt� . ,f/6i✓ <br /> �od�✓e�fice/ 7a s�`� e�.u�ir �v B>��;; <br /> , <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 3705 <br /> f hereby ceRily lhai 1 have mad and oxamined fhis applicalion and know fhe same to be true and <br /> correct A/l provisions ollaws and ortiinances govommg(his type o/work will be completed <br /> wlietherspecilied herein or noL The grenfing ol a pennd does not presume to give authonty to <br /> violate or cancel tho provisions ol any ofher sfato or local/aw regulafing cvnsfruction or fho <br /> performanco ol nsfru ion. That I am auffionred by fhe o�vner oI this property fo podorm fhe <br /> work lor which �plicat n is mado and I co.nply with fBo Slafe Conlractors Law 1827 RCW and <br /> 296.200 WAC. <br /> 6-28—a6 <br /> Sign u e � Oate <br /> � °C' � � '� � <br />