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� ; I <br /> I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —w�w,�.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> 3 72�� �-,�0�1.1� �vr� `� �rts-zrz -�z� <br /> PROJECT ADDRESS � <br /> � n� s ��o�n�NGS 3 �L � �DAD41Rr —Ec�EgE�� - �/ti� �szo � <br /> Owner Mail Address Ciry Sute/Zip y 2 S �3i���s� � <br /> OLYHP�c <rEoUE,2r4[.. 37�(e 3ROMflW/+4� � VERE-� ��!} �i ��f---- <br /> Tenant Mail Address City State2ip Phcne <br /> 3� � <br /> Cr� � Ifc�+�r� sv� Ews; rra�N Ntu��a� G��p 5�Si7z � v�- 73� <br /> EleclricalContractor MailAddress City State/Zip Phone <br /> (r S fIENGZI 4 �7 Ll D �� � 7 Z `' �� <br /> Stale License Number Contract Price of Work <br /> �� �( L� �c�'lJ � �v� �j✓ `�`� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �C <br /> �escription of INork to Be Done: �/LJ 5 f Y�L L ( � � > � � ( <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 3105 <br /> I hereby certily that I have read and examined this application and know the same to be true and <br /> correct. A/l proNsions ol/aws and ordinances goveming this type o/work will6e completed <br /> whether spec,hed herein or not The granting of a permd does not presume to give aufhonty to <br /> wolate or cancel the provisions of any other state or/ocallaw regulating construcfion or the <br /> perfo�mance ol construcfron. That/am authonzed by the owner of this propeRy fo peAorm the <br /> wcik lor which app/ication is made and 1 comp/y with the State Contractors Law 1 B.27 RCW and <br /> 296.200 WAC. <br /> , '��--x-�,;�/'�U-�.,/li�-e-� �— Z 3— c�j <br /> S�cnature Date <br /> L'i�7G'� G.� 3 <br />