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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200CEDARSTREE�, EVERETT, WA98201 � —'a3--o8 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org � D�pU � —/� <br /> O <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ,��i ��r C �r I �, �t1L. <br /> PROJECT ADDRESS � <br /> -r�,�� c►,u ,�,�, �,�1 c:� l�i �-�c ��-�.c� �L��l ���r u�s- ���- ys � <br /> Qwnef MailAddress Cily Stale2ip Phane <br /> � � <br /> Tenanl Mail Adtlress City StatMZip Phone <br /> 'I�tu�R�! u ,Of U�il�Fc� �112 Cdlbh �.'c ���'eLc� lA'�l �i'8.�01 �l2S- .�S��2�i(L5 <br /> Electncal Contrado� Mail Addmss City State2ip Phone <br /> W <br /> i k I(.�Y✓1 r1 � C�c� L(� � �o7U� — <br /> State License Number Contract Pnce of Work <br /> l Il�[ if�l „�C�II'�� L7(lG'_� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptian of Work to Be Done: �OW _ Ui1 I��t' (,h C�Xi��F"�l U� ' �-2� r�C�k Cl fcf7� - <br /> �S l�nr,� �tY�� t� c�YJ� <br /> NOTE: WIRfNG fN NON•DWELLfNGS fS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7705 / �,�c ' <br /> I haro6y cortify that f havo road and ozamined this applicafion and know fho samo to bo truo and �`'�,V T��3� <br /> correcL All provisions ollaws and ordinances govemmq Ih�s type ol work will bo completed <br /> whefher spocified herein or not The granling oI a peimrl does no� rosumQ fo give aufhonty fo <br /> violate or cance/Oie provisions ol any afher stato or local law ieguPhng consfn�ction or fhe <br /> per/onnance o/%onsWchon. Thaf i am aufhonzed by the ownor o(Ihis property fo pedorm fho <br /> work lor which applrcalion is mado and 1 comply witb tbe Stafe Confractors Law 1827 RCW and <br /> 29@200 WAC. <br /> �-J, ti �23��t�-+o� <br /> Si�naNre\ ��� <br />