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ELE�TR[CAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — wv✓w.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��--��.f4�{��� ��"l,� <br /> PROJECT ADDRESS <br /> Inl. � � <br /> Si.{ (�.0. �3a�- l�'+��7 r'�i.Ecvwzt.rJ �i�.3- �/�-�� <br /> Owner Mail Address Ciry SlatelZ�p Phone <br /> ��r I `� !i a !� C� !i <br /> �Y�l <br /> Tenanl A7ail Address Ciry State2ip�j Phone <br /> -(Z�17lia'k3� <br /> �,7�tiL� fv�G�n S���U 7�oU �Mc.a_.��.�,� P-A'-E��c��- �`t ?.fllo3 <br /> Eledrical ontrector � Mail Address Gry S�ate/Zip Pi,one <br /> I�f.V►M i��P�i d�L3 ����� <br /> S ale Licens Numb i Conlracl Price of Work <br /> �' �.�,uzu-� i�G(� �.'��ez <br /> Proposed Use of Building Contact Person (Pian Review� <br /> ,/jr{ y� /��i /! , e� <br /> Description of Work lo Be Done: � V 'J+ ``�� ��-- `,�� ��w' 's�lll � <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � �1 o a - l.s� <br /> CITY OF EVERETT LOCAL SALES TFU(CODE IS 3105 <br /> 1 here6y ceqily thaf I have read and exomined this application and know fhe same to 6e frue and ��� 66 <br /> conecL All provisions of laws and ordinances governmg Ih�s type oI work�vill be completed <br /> whelher speci(ed herein or noL The granting ol a permd does nof resume fo give auihonty to <br /> viola(e or cancel Ihe provisions ol any other slafe or local law reguPting conslnic(wn or the <br /> peAormance ol consfrucl�on. That I am authonzed by the owner o/fhis property to pedorm Ihe <br /> work lor which application is made and!comply with Ihe Sfate Con(racfors Law 18.27 RCW and <br /> 296 200 WA C. <br /> i <br /> ���, � 2f�Gf0 �. <br /> ! <br /> aturc Da1e <br />