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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wa✓w.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> LOv� I <br /> —s�.� 3-�-_Co�1������� W�- # <br /> PROJECT ADDRESS <br /> (>n�'o� `���1� <br /> Owner MailAddress City State/Zip Phone <br /> i ' - ' • - �A��C <br /> Tenanl Mail Address Gty State2ip Phone <br /> 1�M� S,nc o�- �eo.�2 g�� 710��� l� 5 Se�.� In( l� � �y�� <br /> EleclncalContractor MailAddress City State2ip Phone <br /> aob. 3a� . a �c <br /> .�11� t-T a�� �C�b6D� b <br /> State License Number Con ract Pnce of Work <br /> ��1�{C �`L�X'�`1` ) l7('Av�' I�lf���� Sr.J.1 <br /> Y <br /> Proposeo`Use of Building Contad Person (Plan Review) <br /> aa� , 3aI . bvo�, <br /> DescriptionofWorktaBeDone: /"�'l'2(� `�y.�S���M GrC.�J��� FC� �G�C'J✓i"LYI�Q�"4P <br /> V1,2�„� h���- 't���e� `i v� �ey���n,� P •� ��-�v�c, W\re �..��V /l c,� <br /> 1'Y1o�c� o�cc��ru o1 �oU� a(u,o1e-K ��hc`eS <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. ��L' <br /> � � . <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 7105 <br /> I hereby ceAily Ihaf I have read and examined this applicafion and know the same fo be We and 1 r .7 <br /> conecf. All provisions o/laws and ordmances govemrng 6ns typo o/work will be completed I— I ZU U. —G�; ` <br /> whelher spealied herein or noL rhe granting ol a permR does not presume lo give authority to � � <br /> violato or cancel(he prov�sions ol any olher stafe or local law regula6ng construction or the <br /> peAormance ol conslrucfion. Tbat I am authonzed by the o�vner o(this property to pedorm fhe <br /> work/oi which npp6calion i:;made and 1 comply wifh the Slafe Confracfors Law 7827 RCW and <br /> 296.200 WAC. <br /> � � - la - �vr <br /> gnalure Date <br />