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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />C�i �� � l i_'t>>'r(�f.c'l�`! l�<i, "� <br />PROJECT ADDRESS <br />4ZrD/��" lc�N �iS ��22�'-� �72c;1t1>L��1�'l ,C� �/� �'� �Tl V��� ��2�� �lZS <br />Owner Mail Address City State2ip Phone <br />t�(} ML' <br />Tenanl Idail Address Cily State/Zip Phone <br />f��F� ��n� c�.,�z,G 922�� 232 ~�5 r S1�1 L r�,no aDs luR 980�0 925,5$3, 9�cC2. <br />Electrical Conlraclor Mall Address Cily State2ip Phone <br />� I��iU <br />�C'�i-F= I-� L .iq25F'L_ �a� <br />Stale License Number <br />SP� �, a� ll��-z��-> �-�n�� i n� ,.s iTl i�i'icti� <br />Proposed Use of Building <br />��2.95� <br />Contracl Pnce ol Work <br />�FiL/J� ��iLL/TNl:lt- <br />Contacl Person (Plan Review) <br />� <br />DescriptionofWorkfoBeDone: =l�loO�L F_7R5�Ipt=..:i ��c��.tD�tiG ��c%sN-7"i�cay <br />�i� Q <br />_�%� � ✓� ti //-i.� �'�[—' O4'7�LLY'1�S _ I�%df�G � I���PL1I�r�GL�' Ui2i}n�ii <br />�i <br />� ,�Ccr � i �.��12 )N�Y <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby certily fhat ! have rend and <br />correcL All provisions ollaws and c <br />whefher specified herein ornoL Th� <br />viola(e or cancel ihe visions oI ai <br />pedomiance o/cons ion. That I <br />work Ior �vhir.h ap i tio is made c <br />296.200 WAC. <br />Ihis application and know the same (o bo 6ue nnd <br />governmg fhis f}�pe o! �rork �rtll be complefed <br />�l a permrf does not pr�>sume fo give authonty to <br />ite or local law regulafing consWCGon or fhe <br />ized by fhe owner o/ Nus properly fo perfomi Ihe <br />j� wifh fhe Stato Confractors La�v 18.27 RCW and <br />FEE <br />� 2�3�.�?s <br />I/C L . �.�1 .L� Y � �� � �� <br />�ate l' <br />