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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 />ZZ8 '9tA e.t�� rNvrr� wrr� <br />PROJECT ADDRESS <br />oP+''u.li»+n'A 5tfhrrLxi4�itS <br />�Twtr,� .nC �.uNisi.�+d.tcaif c.�wfA'MG ia df �h1�L1- <br />Ownef Mail Address City Slate/Zip phone <br />/[.f�Y1G-/j— <br />._�oGt-J�-K 'LLX SW .fa.tlYt�.!}' p1A�+ � Nl1�i �%O''f <br />Tenan� Mail Address City Slate/Zip phone <br />�� �c�urr�c -x�s�,. s Lz�� sr It�,..� una 9ao3z <br />EleclncalCon�rdctof MailAddress City State/Zlp Phone <br />SC�`Y17� E.T-�-77Nr�c1 <br />Stale License Number <br />_ �vL, <br />Proposed Use of Building <br />Description of Work ro Be Done: L�dnr7G.�� �nei9�r1 t��i.�,p}��� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWnYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CJLE IS 3105 <br />� C.�� . � <br />Contract Pnce of Work <br />L'(s•IT� Y}DIL� <br />Contact Person (Plan Review) <br />I hereby certi/y Ihaf I have read and examined this application and know fhe same to be true and <br />correcl. All provisions of laws and ordinances goveming this fype o/work wifl be completed <br />whether speci6ed herein or noL The granting o(a permd does not presume to give authonty to <br />violale or cancel lhe provisions of any olher s(ale orlocal law regulating cons(ruction or the <br />peAormance o(construction. That I am uuthonzed by the ownero(this property to per(orm the <br />work for which application is made and I comply wi(h the State Contracrors Law 18.27 RCW and <br />FEE <br />Lo(n0 8-I I � <br />