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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 96201 <br />425-257-8810 - FAX 425-257-8857 — www.everethva.org <br />APPLICATIONS ARE ACCEFTED FROM ! AM TO 4 PM <br />�l�� CQLr�� <br />PROJECT AODRESS <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />Gty <br />Cily <br />�0-�6-�i <br />C-,��o�43 <br />� <br />E�'� 1T <br />SfatelZip <br />�— <br />SWteZp <br />�,� <br />' ^y7 <br />k�nss�n� ��-r,2��`.�cs P� aou�yo Ev��rr-9-�r.�b <br />Eledrical ConVador Mall Addresa Gly Sfate/Ap Phone <br />�i ��.3 4l� -3'.�$ Z �i <br />K(ZRSSLyG�v PC, / <br />State License Number Conhacl Price of Work <br />C�-� P�A-C.-t� <br />Proposed Use of Buflding <br />Contad Person (Plan Review) <br />Deacription of Work to Be Done: L� � 1�� IJ �� �-S'I�iLrt L"�. j � Zd /�MY <br />�f-�-'P.'vl �� �C��L CL-plj�ts<�—� �Xl�`NV�r�C� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABIE. <br />CITY OF EVERETT LOCAL SALES TAX CODE 13 3705 <br />1 herebycertily thaf 1 have read <br />cortect. All provlslons of laws s <br />whefher specilled hereln or nof. <br />violateorcancelthe provislons <br />performance otconslrucifon. T <br />work /or wh7ch applica ' is � <br />296.200 WAC. <br />this appllcallon and know the seme to be true end <br />goveming thls rype o! woilc wl11 be complefed <br />o/a permd does not presume fo glve authodty fo <br />3fe or: �cal law reguleUng constructlon or fhe <br />ized by the owner o/ this property to perform the <br />Iv with fho State Contredors Law 18.27 RCW and <br />FEE <br />v,,�3 <br />I(I <br />