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( i <br /> ELECTRICAL PERMIT e4PPLICATIQN <br /> CITY OF EVERET� PERMiT SERVICES <br /> 3200 CEDAR STREET, EVERETr, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I ��� 15 <br /> 1�i�- S.;re��.r,�� �J�.,-, <br /> PROJECT ADDRESS <br /> OWoer Mail Address Cily Slale/Zip phone <br /> �\l1r.jCU-�1'� l�. � �-,�_ . <br /> Tenanl A1ail A dress Cily Slate2ip Phone <br /> `-(zS <br /> -�� �.�•,.�.�e. S�.•� ;�, , t e�o� o� k.es r�. ,,.�, �.v�e.,,-�.Et, v�l J-� 9 8 za � �s�-s� � <br /> EleClrical C n raclor A1ail Address Cily State/Zip Phone <br /> C�7JF(Z-GSL%ZZLC� � �'�C����'�P � /�2�%Z> <br /> Slale License Nurnber Contracl Price of Work <br /> U--1 C�� ��1.�',L. <br /> Proposed Use of Buildinc� Conlact Person (Plan Review) <br /> DescriplionofWorkloBeDone: C.c. , lp.�,�. ��LG �,yk-r� {N��� �Jf `%� 6���.y,,�; �j��,,�� <br /> ,;`d.d .aL�,.t�i�� ,'l.-_�2/R ', i�i'��.�{ .Y.�.,2r...�i�/' r�lL��`�' ' ✓ ' <br /> 'S� �� . / � % <br /> _ C:' �t-7�hx:r. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAEiLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 -� (/ <br /> I hereby certify that I have reaa end exnmined fhis ap�lication and know the sarne to be hoe and �� �Q� ' � S� <br /> corroct. �11 provislons o(laws and or�inances govemm�this type of work will be complefed <br /> �vhefher specified herein or noL The granfing ol a penmt does nof prosume to glve aufhonty to <br /> viola(e or cencol the provisions o(an}�other state or local law reguleting consWcfion or fhe <br /> perfomiance of construcfion. 7hat 1 am authonzed by the owner o/this property fo pedonn fhe <br /> work lor which application is c�ade and I comply wifh tho Sfafe Controctors Law 18.27 RC W and <br /> 296.<^00 WAC. <br /> ��L. � • `�' �i — <br /> Ignalure Oate <br />