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O <br />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 />"7kf S ���G�t��l �� , ���� � ��82�3 <br />PROJECT ADDRESS <br />,/ �,Sl, Z <br />C�Zp�_p°l C� <br />��?E2Ci ��-'IJ �FS3sAl 1�11��i" � 8"l S����z�c-�/ uN -�tJzzc i i, u/l� �I�2o3 <br />Owner MallAddross City StalelLlp Phone <br />Mail Address <br />Cily <br />JA- �'r�"Z�3 <br />Stale/Zlp Phono <br />I�t��c�S ���Sl4�U 2zt� I o�� Si 5,������T-r, u� q�2o� <br />EleclricalConlraclor MailAddress City Slale2fp Phone <br />,�,� � SW SU� 3c� <br />Slale License Number <br />.� �Z� ��.� _ <br />Pruposed Use of Building <br />�7�� <br />Contract Price of Work <br />M l K� /►r-t-r� . <br />Contact Person (Plan eview) <br />�(-`Z�'. 7 S'U. � � 2 ¢ <br />Descriplion of Work lo B� Done: ,�� S� I�— (y 7V-t— Cf GAi � A��t-°dA%� �i I)11,�7� IlA/G� _ <br />(� D I�r i C-Fh�1 NN�� 1 c— rT��- S- <br />NOTE: WIRIPJG IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVE•RETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y cerfify that 1 have read end examined this applicalion and know fhe same to be true and <br />correct. All pro��islons o(laws and ordinances goveming thls fype of work will bo completed <br />whe(her specilled herein or not. The grantin� of a permit does notpresume to give authorify to <br />violate or cancel fhe prov(sions of any otlier state or local law regulating constructlon or fhe <br />peAormnnce of constiuction. Thaf 1 am authonzed by the owner ol thls �roperty to pedorm the <br />work Ior which applicatior is made and I comply with the Stafe Contractors Law i8.27 RCW and <br />296.200 WAC. <br />FEE <br />'��G�����S�- �' ' r 2 Z - <br />��'ZQI -U�]C7 <br />