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� . <br /> ELECTRICAL PERMI� APPLICATION <br /> CIN OF EVERETT PE�;:iIT SERVICES <br /> 3200 CEGAR STREET, EVEKETT, WA 9820! <br /> 425-257-6810 - FAX 425257-8857—www.everettwa.org <br /> APPLiCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT d CREDIT CARDS ARE NOT ACCEPTED <br /> SZC EvE�c.Rc�a [.�a-y - <br /> PROJECTADDRESS <br /> siR l-�rsTTnc. 7/0/ MckJ� ,4y� Sc'�f'rrzt� C�� 98��� <br /> Owner MailAddress Ciry State2ip Phone <br /> G'e,Nss� f��,e 5zr~� EvE,e4�e„1 �Jay E�EYETT u��1 4A'zo ?= <br /> Tenant MailAddress Cky StateZp Phon• <br /> Sur�art-na��rtLS�G�J C ��Yiy �1wv99 �2 �vr'Y�e�rT W�- 9�'20 � <br /> ElectricalColrtfactor MadAddress Cky StaulZip Phone <br /> .TN�rE�eS'e9�yQ k <br /> State License N�imber Contract Price ot Work <br /> (�O m.M El2 c�.9�— <br /> Proposed Use of Building Contad Parson (Plan Raview) <br /> �esaiption af Work to Be Done: .LtilSMwi r�G, l.,r}t3 i N ET S G A1 l.-Oa.J EcTi n1 4 T6 <br /> E)!iS?'1�� CIIeCU� T • <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 here6y cartily thet I heve reed end exemined this epplicelion and know fhe same fo 6e hue end <br /> correct. All provisions ol laws and ordinences goveming this type o/work will be complefed <br /> whether speci�ed herein ornof. The granting o/e permd does notpresun�e to give eufhority fo <br /> violefe or cancal fhe pmvisions ol any ofherstefe or bcel lew reguleting consfrudion or fhe <br /> peAormence o!construcfion. Thef 1 em euthorized by the o�mer ol this property to peAorm fha <br /> work/or which epplicafion is made end 1 comply wdh fhe Stafe Contrectors Law 18.27 RCW end <br /> 296200 WAC. <br /> ;� ,2 . ��� Z/3i6 S �2l <br /> Signature ate /� � <br /> � � ���; <br />