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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 (lv��O <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org 7 <br /> APPIICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM ���0�-�� <br /> �G-/5 ct�r�.s� Cas;��� �'�r <br /> PROJECT ADDRESS <br /> Vl �Q�/7�f fcK�(� �'. <br /> Owner � Matl Address Clly SlntelLp Phone <br /> �l�l I��i �GQ � SUl' . <br /> Tenan� Mnil Address Cily Slele2ip Ph�na <br /> C,, J �y ) /) 3Go �:�,1 - <br /> �Ly/r�FIC �c(�lt{'�� �L� L,C�1( c7�.��/ �i�C�N����/�� �4� 7Hc�.2 � �Uf/�j <br /> EleclricAl Conlractor Mall Address ('ily Slate/Lp Phane <br /> C �� �����i'�SC�,��,,� �1 f� (1i��J. � <br /> State License Number Conlract Pnce ol Work <br /> ./C�Y7 �O[J17 <br /> Proposed Use ol Bui�d�.ng Contect Person (Plan Roview) <br /> C � / C 1 <br /> Descrip6on ol Work to De Oone�. �J(����(i i 7t� `���S���Y� //)S/CT�l <br /> Z� <br /> NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO fEE n� <br /> f3E iN RACEWAYS, MC OR AC CABLE. <br /> �L' <br /> CITY OF EVERETT LOCAL Sl:LES TAX COOE IS J105 <br /> I hereby certrty fhal I have read nnd eaamrneA fhis applicetion and know Ilre some fo bo frue and -� <br /> co�recf All provis�ons of laws nnd orclmences govermng fhis type o!work will be complofed � I �y — O �� <br /> whrfher specdied hcrem or nof The grantmg o!a permd does nol pmsume fo give nufhority fo <br /> v�olale o�cancel fhe prowsions ol nny ofber stefe or locnl law regulafing consfrucfion or fhe <br /> perfonnance o!r.onsfruclion Thef 1 em aulhonzed by tlre owner ol flus property fo peAorm Ihe <br /> worM !o� ir.h app6c i is meAe anA 1 compty wifh fhe Stafe Conliacfors Lnw 8?7 RCW errA <br /> 796 C <br /> ! � �V <br /> si Daie <br /> �� . <br />