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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, WA 98201 7-�/� -�/O <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org /� �� 6 � � O(,3 <br />L <br />APPLICATIO �S ARE ACCEPTED FROM 8 AM TO 4 PM <br />,LS /� S��G�';,c�r-��,����,L%�i%�, ��i'rc �� <br />PROJECT ADDRESS <br />Owner <br />Mail Address <br />City <br />Mall Address • City <br />Electrical��onlraclor MallAddress Cily <br />I��oo �.���,1,�1�: �- " � <br />C l/C/� G�S �'�' %� i: � � � <br />Slale License Number � <br />L/, ( / <br />�j�ir ��i! .� j/��-� <br />Proposed Use of Building <br />Descriplion of Work to Be Done: <br />L,��� �s .��, <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 3105 <br />1 hereby certify thaf I have read <br />correcL All provislons ollaws � <br />whether specified he2in or not. <br />violate or cance/ Ore provisions <br />perfomiance of consfrucfion. T <br />�vork lor which appllcation is mt <br />296.200 WAC. <br />� <br />e <br />Sfafe2ip <br />StateZp �� ��� <br />'/-'���4tix�s Zl�� %�� <br />Phone <br />Phono <br />'l" <br />Slale/Zip Phone <br />��, y�.�- ��3--�,y <br />/F 7� S ZG!c f�';-- ' ::'j / <br />Conlra t Price of Work <br />�� JL �- SC �lUi"T <br />Conlacl Person (Plan Review)' <br />fhis applicntion and know the same to bo truo and <br />�ovemmg this type o( work will bo complefed <br />��a pernut does not presumo to give authonty to <br />�te or local law rec�ulating consfruction or the <br />ized by the owner o! this properly to perfann the <br />�y �vith fhe State Con(rac(ors La�v 18.27 RCW and <br />cT �% l �-�/ O <br />FEE / <br />��t, t�, <br />� � ��,� . /�!0� <br />