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.- -- <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> %��`� c�vEe �,Z�frJ w��-Y <br /> PROJECT ADDFtESS <br /> I � I�v �1=� l�G��«-- i�Y�-�i�. ZLL39 /ow�!}✓� 5� X�nl; Wl� 9BoSv <br /> Ownef Mail Address Ciry State/Zip Phone <br /> ✓�l�a-vw.a- Yh��a-S 2030 nFXTF.�L (�r. IJ SEr+-rrLG r✓A 9ft/Uy <br /> Tenant Mail Address City SlateRip Phone <br /> /=i,�s; �,-(o��. 1_'ir�rrL�� Ii01N 14{`` r�-u� 5���:,r; w�- 4ETioA <br /> ElectriCal Conlractor Mail Address City �_� State/Zip Phone <br /> l(' � v <br /> 1='izsrc.��Z�c-� lcb�� <br /> State License Number Contract Price of Work <br /> �S'TIA-i.t�H.-r:f <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriptian of Work to Be Done: �1�-�"^O�Q.i��, o�p L�GH��/I�oWFz� i'�-Y^�5��1t���4 <br /> /JFJ�-� GG.Hi/NC � �4'�vker/-7l <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certily fhat I have read and examined this application and know the same to be true and <br /> correcL All provisions o(laws and ordinances govemmg this type ef work will he completed <br /> whether speafied herein or not. The granting ol a permd does not presume to give authordy to <br /> violate or cancel the provisions of any olher state or local law regulating consWchon or the <br /> perfonnance of consVuc6on. Thaf 1 am aufhonzed by fhe owner o(this property to peAorm the <br /> work(or which application is made and 1 comply with the Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> -�"�����'��� � ,/ <br /> ' SignaWre �--�e <br /> ��%��?�-G�-�7 <br />