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}� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES 1�,�,� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �d,' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I b�Z I -����2c�� wa-y <br /> PROJECT ADDRESS <br /> J,� P��a�meo 1v633-a.�v�i� w� ��n- W✓� . �az.��, <br /> Owner Mall Address Cily Stale/Z!n Phone <br /> YI Q A- (�n IIiSI�i�tJ <br /> T <br /> Tenant Mail Addres: City State/Zip Phone <br /> � �.IRuE l��vL�l'12...�LFiiv_�i ��uL �3_/�r�Sf SE �o�ui5�1 Ll.)f� Q`I/ZYIo �D'/�b8 57�L�o <br /> Electtical Contraclor Mail Address City State2ip Phone <br /> 1 �,�L�as��� ����:�o= <br /> e License Number Contract Price ot Work <br /> �d(�1 S�(-1v�7 ( CJ�I� �i�i 7> <br /> Proposed Use ot Building �- Contact Person (Plan Review) <br /> Description of Work to Be Done: „L�� f�w..��/`{�d �1011 ,��v•[.t F1JlZ- �-(/}i� ���".S <br /> NOTE: WIRING IN NON-DWELI.INGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby certily Oiat 1 have read and examined this application a.�d know fhr,same to 6e frue and (� <br /> correct. All provisions ollaws and ordinances goveming fhis type o(work wi116e completed �0�p1 Z�3 <br /> whether speci6ed herein or not The granting o/a permrt does not presume to�ive authonty to <br /> violafe or cancel the pro ' ions ol any ofher sfafe or local la�v regulating consfruction or the <br /> onnance o/constru tio . That I am authorized by the owner o/this property to peAorm the <br /> or or which applicat n i made and 1 comply wifh the Stafe Confracfors Law 18.27 RCW and <br /> 96.2 WAC. <br /> �.�.-�� oS <br /> Signa;ure Dale <br />