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:: <br /> ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, cdERETT, WA 982fJ1 <br /> 425-257-8810 - FAX 425-2!i7-8857 —www.everettwa.org <br /> APPLICATIONS AkC ACCEPTED FROM 8 AM TO 4 PM <br /> � 9� 7 �la�,�,�� �t ��� �/��.�' <br /> PROJECT ADDRESS <br /> Ow;ier Mail Addmss Cily Stale/Zip Phone <br /> � <br /> �Y� '' ' o,v� ����7 `L�/ .� r�����w'�� z����u �� _ <br /> Tenanl Mail Address 'iry State2ip Phone <br /> �S� �J':�c��,�� C'o . /�'j. . < � Gt��. �v�'l�a�ii 4�i Gv�l ��`���1-� <br /> Eleclrical Conlraclor Mail Address City State2ip Phone <br /> /3�= STCC,k c��Dr�' � ,� /�s� <br /> 3tate License Number Contract Pnce o(Work <br /> r <br /> �� �%n� ���� <br /> P�oposed Use of Building Contact Person (Plan Review) <br /> Descriplion o(Work lo f3c Done: �� `�L�G , � �l�L��l� �%� ���b/J -I' /� �-�/'h �!'7 ��'�%/1� � <br /> NUTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FFE <br /> BE IN RACFWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ' � Z I <br /> 1 hereby certily fhat 1 have read nnd examined this application and know fhe sarne to be frue and ��b'(J 7 <br /> correct. All provisfons ollaws and ordinances goveming this type oI work will be comploted <br /> whefher spacific�d herein or noL The granting o(a ponnd does not presume fo give authonry to <br /> vlola(e orcancel the�rovisions o(any ofher state or local law regulafing construcfion or�he <br /> performanco o/consfruction. That 1 am aufhonzed by fhe ownero/fhis property fo per(onn the <br /> work lor�vhich applicefion!s ntada end 1 compty with fhe Sfale Confractors Law 18.27 RCW and <br /> 296.200 W�C. <br /> c�t'�'�7 `�J '--� `j�--7 T ^T'� � <br /> Sic�nalure r �ato <br />