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ELECTRICAL PERMIT APPLICATION <br />CI`fY 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 � �- I 7�� }� <br />�+'�'�C�7 (_������.e�n +��1 �,�P�p�f-� �,I� �z��'� <br />PROJECT ADDRESS <br />��c'_ h),�/s�n �1'xU /� <br />nCr Mail Address <br />� �j�_cij c{��%%���G <br />ianf Mail Addr s <br />� 1�,��-i �`� �'�� . / U+' <br />COnlractur Mail Addn <br />' c� �'/ f=C,ko7��i�t "7 <br />lale License Number <br />. <br />, �� <br />� �:1,7>�?.-? �°-�( <br />Proposed Use of Building <br />�I rJ <br />"�Ci���, N,G JGc��, <br />� <br />City <br />'/L <br />cry <br />7l� /3�l/.�%U�K' �J�i �' <br />StatelZip Phone <br />� � � a.d d' <br />State2ip Phone <br />� -;nJ��l�r��� c��� tt;=-)� <br />Ciry Slate/Zip Phone <br />� ��� <br />Conlrect Price af 1Nork <br />���"f �'-� <br />Conlacl Person (Plan Revievr) <br />Descriplion of Work to 8e Done: ro ;!�.-�- �C �Pr �� Y/7U r'� `f �� lL�� ��L^ �ci �{�✓� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE W RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCA� SALES TAX CODE IS 3105 <br />lliereby cerlily Uiat I have resd and examined this application and kno�v the same to be true and <br />carrecL All provisions o(/aws ar�d ordinances governmg this lype ol work will be cornpfeted <br />whetherspecilied herein ornot. �ihe granting o(a pernut does not �esmne to qive authordy fo <br />violate or cancel the provisions o/ any olher stafe or local law re�uPfin� consVuc6on or Ihe <br />performance o/ construc6or,. That I am authorized by Ihe o�vner o/ Ihis property to perform the <br />�vork /or nhich application is made and 1 comply u�ith fhe Sfate Confractors La�v 18.27 RCW and <br />2962G0 WAC. <br />FEE <br />w�� i -ca3 <br />