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ELECTRICAL PERMIT APPLICA�'ION <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 />� �� .� L'VC'I'� C- <br />PROJECT ADDRESS <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /># .S— ..T. <br />�a/u�N 17i� Ca,Sccr�lG Plca�ic LLC �CJ t�x 7�fo`�3o S�.i A..-�o.��o Tjl 7��7 i <br />Owne� Mall Address Cily StatelZip Phone <br />l(�ei�l�-f (.t.ia-�tiie� 77�5 Euc.'.�c;ree..� I,JUy ��-Z Euedc�t, i.Ji( ���D„3 <br />TOnant Mail Address Clty Stale2p Phone <br />�« <br />Ciry <br />� E�+Z�r'niCfl�`5` ��L_ 3 <br />State License Num6er <br />Ca„u�,.rrc i ca ( _ <br />Proposed Use of Bui�ding <br />State2ip <br />Phone <br />S�! `�d �c� <br />Contrect Price of Work <br />CLt✓i �'hrJ� l.rl L. t{�,' � S� <br />Contacl Person (Plan Review) <br />`� � � / !i !i 1 �C�: � I w� � (7 -f WG�.IG�� .5 � I <br />Descnption of Wark to Be Done �� -� li 1` <br />Li�� Cd t,ACci �!� �'il::C' �!c� �L1� r ��� ca� I�-J�4. I I. <br />NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS. MC OR AC CABLE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby certily fhal 1 have read and exarnined fhis applicalion and know fhe same fo be We and <br />coirecf. All prov�sions ollaws and ordinances govemmg th�s type oI work wil/ be compfefed <br />whefher specdied herein ornoL The granting o( a penmt does not resume to give aulhonty to <br />violate or cancel tlre provisions ol any other stafe or local law �eguPating constniction or the <br />perlonnance o/ cons(rucfion. That 1 am authonzed by the owner ol this property to peAomi the <br />worlc /or which�pplication is rnade and I comply with the State Contracfors Law 78.27 RCW arrd <br />296 200 WAG <br />FEE <br />l� <br />� lo� <br />,� o� <br />�3 <br />