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ELECTRICAL PERMIT APPLICATION <br /> CITY QF 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 /> .372� Q�o..t�,., �' so3 <br /> PROJECT ADDRESS <br /> Owner A1ail Address Cily S�ate2ip Phone <br /> /" ��.IrH D��i'c �Sr�G J 7�L �/I��[w7 2`V� W�-. <br /> Tenanl A1ail Address Clty State/Zip Phone <br /> �iC�lec,p �rc 33/S.f //G'��I-f �/S`f ,�.�Y� !�- �'�/bd Z��-�riS � <br /> Eledrica�Conlrar,tor Mail Address Cily State/Zip Phone <br /> _�!E �lo/ '''� /7j TS �/oo' • <br /> Stale License Nmnber Conlract Price ot Work <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Description of Work lo Do Done: _ (�pL✓ vo%��'t,` /N J�/-�� ,Q/ ,Q/nl�. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT L�CAI SALES TAX CODE IS 3105 <br /> I hereby ceRily Ihaf 1 have read and examined this app/ication and know the same fo be 1n�e and <br /> co�rect All provisions o/faws and ordinances goveming fhis type o!woric will be cempleted <br /> �vf�efher specified herein or not The granfing oI a permrt does r,ot resume to gi��e au(honry to <br /> violate or cancel the provisions o/any other sfafe or local law reguPting consfruction or the <br /> performanco o/consfruction. That I am authonzed by the owner o/this property fo peAomi fhe <br /> work/or which upplicafion��dry and 1 cornpty wifh fhe Stafe Con(ractors Law 18.27 RCW and <br /> 296.200 WAC. j <br /> � ,/� �- zq- 08 <br /> i aWre � Uate <br /> �v�ti���5fi' <br />