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ELECTRICAL PERMIT APPLICATIOIV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �',i�fi'' <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org ��� l� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I D 7� ( ��erzG:'.�,J Lv�1-�-� <br /> PROJECT ADDRESS <br /> '�u� �� �^�.a-r--r►4-CZ-O <br /> Owner Mail Address City state2ip Phone <br /> F ni;-,�f�2l se '��-�.7Tt* S �G 7�/ �L�.-rL�,¢c��� l.�+'� e7/�7te'rT <br /> Tenant Mail Addre�s City State2lp Phone <br /> 9 Y s;�-�.5,:��.,r-,�.�5 L�r/�,�•�.s��� . `xo/ �'�ECi�,- '�uu l�k� ��H ��373 <br /> ElectricalConlractor MailAddress City Stale2ip �S'3�gt/�hone <br /> s4vy <br /> SVS7�SL�1bfcF�'Z �l �r � �jOp ,c•v <br /> State License Number �T Contract Price of Work <br /> � %�c`uTht GSF��GG, I�A-UC-7TOS(�./NS <br /> Proposed Use of Building Contact Person (Plan Review) <br /> DescriptionofWorF,toBeDone: � ln�� Lr��•�tGN Sc"Zvr �7'� pT-���P-/ztH �YS�L�'r/� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify thaf 1 have read and examined this application and know the same to be true and <br /> correct. All provisions of laws and ordinances goveming fhis type of work will be completed <br /> whether specified herein or not The granting o/a pernnt does not presume to give authonty to <br /> violate or cancel the provisions of any other state or local law regulating construction or fhe <br /> perlormance ol construction. Thaf 1 am authorized by lhe owner o/this property to perlorm the <br /> work lor which application!s made and I comply wifh the Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � / <br /> ,� �_.__ �-�Z��o� �,� � � <br /> Si nature Dat � ( <br /> ��/ <br />