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ELECTRIGAL PERMIT A�PLICATION <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 6 AM TO 4 PM <br /> Z�l t� ��(�z 1,-- <br /> PROJECT ADDRESS � <br /> �L-t.'��Ct'`� C�6�'ti��.��� - Z�lb (;f}��L1 1 r���'-t� 1,v�9 ��LG I <br /> Owner Mail Address City State2ip Phone <br /> /[ N !� N <br /> :� <br /> Tenanl MailAddress City T Slate/Zip Pnone <br /> 7yov�2�(e�2+� � <br /> �� �� � IU-��ti ,�� z„� `�vQ-v����- ��-tl F'lo3 �f 5-77��3r <br /> Eiectrical Con aclot Mail d ress City Stale/Zip Phone <br /> �-W�M �11� ��L� ��loU— <br /> State License Numbe Contracl Price of Work <br /> �. ��Ll l�'�Ll,i/l L��..P ��`��'.r�'f <br /> Proposed Use of Building Contacl Person (Plan Review) i <br /> Descriptian of Work to Be Done: �fn'��J ���� ur�� � �/�1L����� <br /> L -� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � 0 oa <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> 1 hemby certily that 1 have read and examined lhis spplicafion and know fhe sa�ne to be Inie and / /� <br /> concct. All provisions o/laws and ordinances governmg fhis type o/work will be comple7ecl !� � 3�y( -.—r 3 � <br /> whether specd�ed herein or noL The granting ol a permif Aoes not resume fo give euthonly to (r � <br /> violate or cancel Ihe provisions of any ofher state or local law reguPting wnsWction or the <br /> per/orm ce ol construchon. Thaf 1 am authorized by the owner ol U�is properiy to peAorm fhe <br /> work lor ich appfication is made and 1 comp/y with the Stafe Contractors Law 18.27 RCW and <br /> 236.20 , C. <br /> � v� <br /> i �a e e�e <br />