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c <br /> ELECTRI�AL PERMIT APPLICATION <br /> CITY OF EVERET7 PERMIT SERVICES <br /> 3200 CEDAR STREE'I', EVERETf, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> `jOc:� 1 E'�c�6�ee�� wt� y <br /> PROJEC'f ADDRF3S <br /> ��p.CLC50�� ��C� S�tX-� S�O � tJclL�j fLCEJ�f WJ� i=VcY�cTT W P `��[.d� <br /> Owner Mail Address City Stale2ip Phone <br /> Tenant Mail AJdress City State/Zip Phone <br /> tJoaTN wc-s� Pu.r,�� i ZC��.�ew�c.-. E 1&�7D nr lJ 31 s� �� . 1',rr}Ic,�.�l �, 2 � 121C� 394•�Z � <br /> EleCtriCal ConlraClof Mail Address City Slale/Zip Phone <br /> �; .:� RTE-', �'� 6(��: m � �S�CG , 00 <br /> State License Number Contract Price of Work <br /> ( ow�. �ob Cuo.�C�cl �s3-39�1• z�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> De:criplion of Work to Be Done: = ri S�N�����`'1 I\ E_�.: �� � !��j �.�� �'17•�l.�v'e S <br /> `�= N G,��� ST;TO�� C,�,�;o��� <br /> , <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CI7Y OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certify that I fiave read and examined Ihis application and know the same fo be(rue and E I p05- �� � <br /> coirecL All provklons o(/aws and ordinances goveming thls fype o(work will be completed <br /> whether specified herein or noL The grantin�of a pennd does not presume to give aulhonly to <br /> violateurcancelthe provisionsolanyofherstateorlocallawregulafingconsfructionorthe <br /> pedomiance of construction. That 1 am aufhorized by f6e owne,-o/thfs property to per(orm the <br /> work Ior which applicatlon!s mado and 1 comply�vith the Stafe Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� _. <br /> � <br /> --�. ; -k,���� S- �:g -- zo�� <br /> Signalure " Date <br />