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r � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES I <br /> 3200 CEDAR STREET, EVEREIT, WA 98201 u/�� �� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �����-Ob3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � I o w cP.s;n� ��I -# D <br /> PROJECT ADDRESS <br /> S�n�. � �3�,Ib�� �5130 1-�8t�i S-f- pIF Mar � sv�U� . WA 98z'Il <br /> OWner Mail Addresa Clty State2lp Phone <br /> ��rc�uCe MUrkc� - <br /> Tenenl Mall Addresa Cily State2lp Phone <br /> �e r <br /> Eleclrical Contrector Meil Addreea Cily State/Zlp Phona <br /> ��L/ ' <br /> Slale Llcense Number Contracl Pdce of Work <br /> r,.�„��,��, -,. I C_L,,... ¢Z5> 3/9-3yf��. <br /> Proposed Use o1 Bullding Contecl Person (Plan Revlew) <br /> Desc�iplion ot Work to�e Done: <br /> __�-+� c�ll �n , Ic < nt�A��es ar'� Ctii�`t� b�.� � /� <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 C I(U�I �D�o�� <br /> 1 hera6y certify fhef 1 liavo reod end exemined fhfs epplicaffon and know fhe seme fo be true and <br /> corroct. All provislons ollews and ordlnances poveming thls type ol work w111 be completed <br /> wheffier specifiod horeln or not. The grenting o/e,pemuf does nol presume to glve aufhorify fo <br /> viole(e or cancel ffie Provlsfons ol any other stefe ur local law ragWeting consfrucffon or fhe <br /> perlomiance o/conslrucflon. Thaf 1 em a�thorized 6y the awner ol fhfs property fo peAorm fhe <br /> work lor whlch eppNcafion!s mede and I comply wlfh fhe Sfafe Confrac(ors Law 18.27 RCW end <br /> 296.200 WAC. <br /> � '���--- �-1 ��/1 <br /> —� Slonature ete <br />