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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />PROJECT ADDRESS <br />bq 32 <br />C�Lso N �u,,� e..r Gvteut0• v�.�-t� wr9 `t:��e3 <br />Owner Mail Address <br />��� City RPhone <br />8.2 ej2 <br />Q.70/0 f_yc.af t ./ EL/-e-ev we4 �2i �z�v <br />Tenant Mail Address <br />city fState/Zip ,p hone <br />{� I •/f pr LQ%G j <br />Electrical Contractor Mail Address t city Slaterzip Phone <br />h�L'—'=fV'CnctC <br />_ V tit F N--* ej 0 <br />State License Number ;Contract Price of Work <br />Ru_S tnett <br />Proposed Use of B Ong Contact Person (Plan Review) <br />Description of Work <br />� to Be Done: `'`C� Ldd ny O ek 2eZ a eo ¢-, (p � � ,/��(tS � I �y L C <br />S ✓'L%N i2Guto l/� W �CiSi ALP v ��—/�rS I2 �C fiJy <br />&- -L <br />j2etoce,� e yt,4, j pote j/f h -ro 8i^ru' til`fv co,v {c,�,at ray c l=f <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 />I hereby certify that I have read and examined this application and know the same to be true and I <br />correct. All provisions of laws and ordinances governing this type of work will be completed <br />whether specified herein or not. The granting of a permit does not resume to give authority to <br />violate or cancel the provisions of any other state or local law regulating construction or the <br />peAormanco of construction. That I am authorized by the owner of this roperty to perform the I /t <br />work for which application is made and I comply with the State Contractors Law 18.27 RCW and n G <br />296.2WAC. 0 Cjl{q <br />i/"r/ L r o . <br />Signature a <br />