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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—www.everettwa.org <br /> APPLICATIONS ARE ACCEP7ED FROM 8 AM TO 4 PM <br /> ///,?0/yFRGnPtrn/ WAYi SUifl rr �✓£REY1 %Fl " `� <br /> PROJECT ADDR�r SS <br /> ��ERbK.9� /'KorEcr»t <br /> �c n � ' \/� <br /> t�OrfJ r/�e.rc LCir.i�E �-/E.tv/tFI eo��`�j !/4YE,Y�� N/�j�EKtn �✓�9�10! N.4Y•3J1 -lGJf <br /> Owner MaA Addre,sa CXy StelelZP Ph��e <br /> E TR/L • %/I�O,LUEK'GuttE 1'VA SU/7FF J rtt f t Q�?0 <br /> Tensnt MaIIAdNess Ciry SYatdZip Pharb <br /> �s�e/i n/V�o�J��,�c •9iA7/f�llt�,u,��LA[F'r.�QI'• /�tiK/[TEo�, Wi9 9i'-?1,f d�s-3y9-Soy�/ <br /> Electrical Contrador Mai Adtress Ci1Y Se�eR1P Phae <br /> �Po,c4v/ o�yOL� J00. °O <br /> Stete License Number Contract P/ri1ce of Work <br /> �ONNEilfi.'� l�UL /�Tt',lr0� <br /> Proposed Use of Building ContaC Person (Plan Review) <br /> Description of Work lo Be Done: C0�7/��C� .!` , v7 � Gx�fJ��M c //Cui/ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3706 <br /> 1 hereby certily that 1 have read and examined fhis applicafion and know fhe semo to ba true and P� <br /> corracl. All provisions o(laws end ordinances goveming this lype ol wak will be complefed ��/�S- Q(�'� <br /> whether specified herein or nof. 7he gianting o/e perm�f does rwf�resume fo give euthonty to <br /> violefe orcancol fhe provisions o/any other stafe or local law�egulatmg conshuction or tlre <br /> per/ormence alco.asfruc6on. That 1 am aulhorized 6y fhe ownero/this property fo peAo�m fhe <br /> wo�k lor which epplication is made and 1 comply wHh the Stafe Contracf�rs Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� �is//O <br /> � natu2 Date <br />