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ELECTRICAL PERMIT APPLICATIO�I <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wewr.everett�✓a.org � <br /> ,.. <br /> � <br /> APPUCATIONS ARE ACCEPTED FROM B AM TO 4 PM � <br /> �SZS C����! ,4J� <br /> PROJECT ADDRESS <br /> C�aA�-r �n1��s—,�E�1" Po t��K ���s r��; w.� gs3�o� �zs -zs�-5�b� <br /> Owner Mail Address City State2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> `l23'77�F-�g�/ <br /> ULy�r1F�� M�csi�,vt��� rn/e• 2c"7�8 r�T"a�Eru �Zo7 Mcv�tr�u� c.E „a ��3 <br /> ElectncalContrector MailAddress City SlalelZip Phone <br /> OL4rnrs��oo2 �oW �NPmSnoL G <br /> Slate License Number Contract Pnce of Work <br /> �tJI�D `%r7i2�- <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ��5�l�J,�JS�n r.0(.y �/U(.�1Q6F 'j�1��Cru �S� (yi,e,�Ff�, Fj�pM <br /> ��CI S;inlCn FLI�en�1AC�. ��r.ltn/C� C.c�n/7T�oL � c��nJNk� "77� NF..ccJ <br /> CabS �U�ZnlJ�� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FE�E — <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily that 1 huve read and examinod fhis npplication and kno�v fhe sarno to be true and <br /> correct. All provisions o/la�vs anAord�nances govem�ng this lypo ol�vork tvill bo cornplefed <br /> u-he(her speci6ed herem or noL The g�anting of a penmt daes nof resume to give authonty to <br /> �.iola(o or cancel fhe prov�sions o(any ofher state or local la�v reguPfing conshucfion orthe <br /> perlomianca ol construclion. That I am au(honzed by fhe owner of Lhis property to peAorm Ihe <br /> work/or�t�hich applica6on is rnade and I comply wRh the Sfafe Contractors Law f 8.27 RCW and <br /> 296200 WAC. <br /> �� � � �IZ�GfJIJ 1 i � <br /> aWr�� �e / � � �� � <br />