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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF �VERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �� �!g�0 fi <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G��//v/� <br /> H4ZI �v _ re�. lua.� /� <br /> PROJECT ADDRES �A ` /O ��/, r,� �� r/ !�5 � <br /> J�� l0' � Y <br /> :r <br /> /� ls G,.t.� �� r� .S� �� I(� � �-- /� <br /> %i/.�./�..1 .�u. � .,w r� � �� <br /> OWnef idailAddress Ci�y State2lp Phone <br /> I�ltal,dllc� N�c.l�(�I-�•— �NSzI �,,�,.�„P�,....Wy Ev�-�- A- 9g2�o3 - <br /> Tenanl MailAddress Ci SlalelZip Phone <br /> ��Z �IeC--fv�� L(.L 'PO 130�- �51-3� S¢a�l�-�- Wp q�175 <br /> Electrical Conlractor Mail Address City state2ip Phone <br /> LA��-�� q:��f PR � 2Zoo °� <br /> Slate License Number Contrad Pnce o(Work <br /> Proposed Use o(Building Co�taq Person (Plan Review) <br /> Description ot Work lo Be Done: K CC� .Q �-�-1 h � I 4'�7`� h �� <br /> AGE� W� N�Q.�J �1�� � �2 ?.�.�- r� 16 <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 3705 <br /> 1 hera6y ceAily fhaf 1 have read and exarnined fhis applicafion and know thn same to be frue and <br /> correct. All provisions o/laws and ordmancos govoming Ihis type o/work wil!be comple(ed � <br /> violafo or�ri�ce�fho p�inv1 sions�olnny Ui�e�r 9fa1g P loca�l I a�vsagu Paing conaln9c(ion orhfhe�� O <br /> perlonnance o/conslruchon. Thal 1 am aufhonzed.Gy Iho o�mer o/this property to pedorm fhe 9/�_l <br /> work Ior which applicahon is mado and 1 comply w�fh fhe Sfafe Contracfors Law 1827 RCW and <br /> 296200 WAC. � � <br /> _ � �i���� � �l// �/��� <br /> Sig�m Date <br />