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( �� <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—vwvw.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ' r,�7 o I ��e.wrP.�H 1n1 cMn <br /> PROJECT ADDRESS <br /> )b� 'J'�Vvinc:kkno � �101 S�s.ctt�eP�n Ar u ��`��e-t} Inl�d- Q�?v�l 47�-33�`7 3/ <br /> Ovrtle� Mail Address iry State2ip Phone <br /> — ( I � <br /> Tenant Mail Address City StatelZip Phone <br /> � � �ItC,"I7'1 C �U-C�3 �� i J�.�' .� � 1L�� !S� �.!/�� �����((i �nO�L�rCYYf] <br /> Electrical:;ontradof Mail Address Ciy State2ip PMne <br /> 7JU��-IJEC.� �i �3� c� 73 -7S�. 00 <br /> State License Number Contrad Price of Work <br /> !�� �/Y_ ; � <br /> Proposed Use of uilding Contact Person (Plan Review) <br /> Desaiption of Work to Be Done: G��.L ( L� G[YL w i�$ �L�_ � �U �� � — <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ^ <br /> �%C�. �70 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 here6y ceAify that I have 2ad and examined this application and know the same to be hue and <br /> correct. All provisions of laws and ordinances goveming this type o(work will be completed <br /> whether speci(ed herein or not. The granting ol a permd dces nof presume to give authority to <br /> violate or cancel the provisions of any other state or local law regulafing construchon or the <br /> peAormance o/constiuction. That 1 am authonzed by the owner o!fhis property to pedam fhe <br /> work/or which application is made and 1 comply with fhe Sfate Contracfas Law f8.27 RCW and <br /> Zss.2oo w� 4 i f���/�� <br /> � / �( i <br /> � ZL�6� C, <br /> Signature Date <br /> 9W � `t 7�/ <br />