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� . <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES C, <br /> 3200 CEDAR STREET, EVERETT, WA 98201 II —�'� / <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org CO'/�//-�SZ <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PI17 <br /> So o ( EvE�tG,��/ i,.� 'l <br /> � L <br /> PROJECT ADDRESS <br /> L"�h C /i—Sat� 'I'�0� 5���� 3 �lSUr o�i''��C,�l�-1, �T . lw'C�1)� i. <br /> Q a�.� <br /> Owner Mail Address City Slate/Zi�~ Phone <br /> Tenanl f�tail Address City 51a1e/Zip Phonc <br /> ��.t S�� �N �C�iZ�-�—i� +3 i� N W I��� fo2T��+,�v,oa �'720 5 <br /> � <br /> Eleclrical Conlrac�or ��.t�it Address Cily Slate/Zip Phone <br /> ;,�.,sc►z �-r-v 3$ IL v.1 <br /> Stale License Number Contracl Price of Work <br /> Proposed Use of�uilding Conlact Person (Plan Review) <br /> Descriplion of Work lo De Done: UPOA�� �GTr/ ,f`,�57"E�l <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAI'S, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> I hereby certi(y that I have read and examined fhis application and kno�v fhe same fo be frue�nd <br /> correct All provisions o(/aws and ordinances govonnng this t}�po of work will be complefed ��a � � '�i Su <br /> n�hefher specified herein or noL The grantin�o/a perrnif does not pr��sume to give autfionty fo <br /> violafe or cancc!fhe Prorisions o(any ofhor sfafe or local la�v regulat�ng construction or fhe <br /> perfom�ance of constnictiun. Thnt I arn authorized by tho o�vner o/thls property fo porfonn O�e <br /> work(or ivhich applicatien is made and 1 comply�vifh fhe Stafe Contrac(ors Law 18.27 RCN�and <br /> 29E.200 WAC. <br /> `v C.�� /( ti �7�1 <br /> �� ,�e ��e <br />