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1 <br /> FLECTRICAL PERMIT APPLlCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-3810 - FAX 425-257-8E57 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT & CREDIT CARDS ARE NOT ACCEPTED <br /> ��L�/ G��� ��{-2,�� ����� <br /> PROJEC?ADDRESS <br /> /C�y✓ ����` ��� C- <br /> Owner Mail AAdress City State2ip Fhone <br /> �'</�%1G91.� �//.� 1� y,��S c-GV�7� c,/'z'�^� Gv'ry G'7/�'k"l� , Gta/- 7���� <br /> Tenant Mail Address City Stale/7_ip Phone <br /> . �-(Z�� �ja. ,Q/6c <br /> /�%�9T JrG,✓ .���2Jcc-�r /GZ�z ,,o�1�C-ei/��r-7T 11-=j' WF2 >'7 rt�r� c:2rix w/� 9.i�iz <br /> Electrical ContreCtor Mail Address C�f; State2ip Phone <br /> </�:?TS� S � i i�' `�i' <br /> State License Number Conlract Price of Work <br /> ��fTv/C/�r/7 �<'.'�rf� �p.�Z��ES <br /> Proposed Use of Building Cont2ct Purson (Plan Review) <br /> DescriptionofWorktoBeDane: ��� n�ZL- c�/c C'/-�yYr✓• �� l_�(I/���� � L6 �`� <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 /> 1 hereby certi(y fhat/have read and examined this application ard know the same to be true and <br /> correct All provisions o//aws and ordinances govemmg this type o(work will be completed <br /> whether speci6ed herein or not. The granting of a permd does not presume to give authonty to <br /> violate or cancel the provisions of any other state cr/ocal law regulating consWction or the <br /> pe�formance of constructron. That/am authonzed by the owner of this propeRy to pedorm the <br /> �vork(or which ap lication is made and 1 compty wifh the Sfate Contractors Law 18.27 RCW and <br /> 296.200 WA . <br /> , / . 9��}� y <br /> ature Date <br /> �o o `�.v� <br />