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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVIC�S <br /> 3200 CEDAR STREET, EVERETT, WA 98201 /a-.-a 9—v; <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> [S�(2--{� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � / .,Z� ���sT� f� !'7— �, �Ir i.,�° <br /> PROJECTADDRESS ���5 3�/� <br /> �'/F, � ��r�a o.� �l'P�,�7`l �c r� `7���' `/�"7 <br /> Owner �dail AAAress fity SWte2ip Phone <br /> N � / <br /> Tenant � Idail AdAmss City Slalel2ip Phone <br /> C'��s��,-Tr� 94.�� /.����/ �r"�T <br /> , c C l c L� C �r�✓^"r��L'f� ` �>P� `//� I <br /> Eleclrical Contractor �tail Address Gty Slate2ip Phone <br /> C�irSTJ['� �G L T ��S �v <br /> Statr. License Number CoNrAcl Price of Work <br /> `'I (��,,/I: .��l i/ -�d{Za r /� /� �•11 <br /> Proposed sc ol Buildlnq CoNac� Pcrson (Plan Roview) <br /> Description of Wark lo Oc Dann: �'�/C�L ��J 7 S//v���/ _ <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RAC[WAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALE„TAX CODE IS�105 <br /> I heroby crrUl��fhat 1 hove read and oxmnined fhis applicn6un and 6now fhe snnte fo be fn�e and <br /> conoct. All p��wsiuns ollaws nnd n�dinancrs�overnm�fhis t��pe o/�roik will be complefed <br /> whethei specdied hercin or nof. The c�ranhny ol a pernut Aoes not presumo fo give aufhonty fo <br /> viol�te or cancel fho/�rovisions o!any ofher sf��fe or loc�l law repulating construcfion or the <br /> perf�rmance ul consfrucfion. That 1 am nuthorized bp the owner o/fhis property fo perlorrn fhe <br /> work!or which applicalion is maAe��nd 1 cornply wifh fhe State Contmcfors Law 1827 RCW end <br /> 296 200 WAC. � <br /> �— .� � . <br /> � ' �(,�, � � /�.• � I � D � � 3 <br /> SignnWre Uale � � - � <br /> '� <br />