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� � _` <br /> ELECTRICAL PERMIT APPLICATMON <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 8 AM TO 4 PM <br /> yb � � �VC� ✓��GGr, W �� � � <br /> PROJECT ADDRESS <br /> ��.,�, ��, �l G I b �v ,� �, ���' �a �S�o3 <br /> Owner Mall Address City Slate/Zfp Phone <br /> C� �S'rOh �rv(,�5r�t� 1'V�er,a�Cvno,�' Wlunav(7F <br /> Tenant Mail Address City Stale/Zip Phone <br /> ���'c� Elc+�'�n.L ��13 �t a�y��' Si S� �ea�'x�) V� q°� 21 _ <br /> EleCtrical Conlraclo� Maii Address City Slale2ip Phona <br /> y2S -48�-13y y <br /> Sla� vi 2 �1 ��ooG^ <br /> License Numb� �( Contract P ir ce of Work <br /> �a-� a��^ � �,o(� �vv, <br /> Proposed se o(Buildinc� Conlact Person (Plan Review) <br /> Descriplion of Wark to Be Dono: ���S��S�I 5 �b��''�e I / �G (O CS�P —f C�~���� <br /> GOIGI I `)N�V i � <br />� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABL[. Z� <br /> i �3� � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby cerli(y that I have read and exantined this applicotion and know the same to be Iruo and <br /> correct. All provisions o(laws and ordinances goveminc�fhis type of work will be comple(ed <br /> whether specified herein or noL The granting of a permd does not resume to give authon(y fo <br /> violafe or cancel fhe provisions o/any o(herstate or Iocallaw reguPeting construction or the <br /> pedomiar�ce of conslnmtion. That 1 an�authonzed by the owner of Ihis properiy to pedorm the <br /> �vcrk lor which application is mado and I comply�vith the Stafe Con(rac(ors La�v 18.27 RCW and � <br /> 296.200 VY'AC. /� <br /> ��� o _ <br /> � ���_ �/ 7 �017 <br /> Sic�natore ale <br />