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ELECTRI�AL PE:RMIT APPLICATION <br /> CITY OF 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 - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> 7 •J I ' l.:C�l-�> y <br /> PROJECT ADDRESS <br /> Ownef Mail Address Ciry SWte/Zip Phone <br /> Ed������t'` ,Tun�� 2��urtt.�?����f <br /> Tenant Mail Address City Slate/Zip Phone <br /> i , <br /> !7 /?�DIIINC� El�c'i/'�l� i�aG3J ,V j�l,��t/i��.GI ,�� �,LN,vk-vPi�� lvA ��f��3� <br /> ElectricalContraclor Maiitiddress —� City State2ip y/LS 77�/cfl�"¢ <br /> 1�LZ/�9E�0�-/B � �?,,aDv, ao <br /> State License Number Con6act Price of Work <br /> �va^h��/'C/fj� _,,t�llRrt/B '�/U�/d� <br /> Propused Use of Building Con;act Person (Plan Review) <br /> Descriptlon of Work to Be Dane: �/��Jl�1 _�✓1��'i;:i�'(�i)�!�l�; �t' w ��'f(/'�Y^ c IfIT <br /> f CG4�t � L'l/'C7�7"ICti� f�r /JP�/ C✓k l�l- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES T.�Y. CODE IS 3105 <br /> 1 hereby ceRity fhat I have read and examined this application and know the same to be true and <br /> corcece All provisions u/laws and ordinances goveming this type o(work will6e completed <br /> whether speci/ied herein or nct. The grantrng o/a permrt does nof presume to give authonty to <br /> v�olate or cancel the provisions ol any other state cr local law regulating construction or the <br /> performance o/cnnstrucGon. That!am authonzed Gy the owner o/this property to perlorm the <br /> worK for which application is made and I comp/y.vrth the State Contractors Law 18.27 RCW and <br /> 296.200 <br /> : <br /> � % <br /> �� ��%�� ;o� D� vy <br /> i ure Date <br /> F�1 jlo � <br />