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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE''T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org J ' v � 6 —d 7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM b���,.��5 <br /> l/ d''v<3� C'Uc�G�'ec�� ��i���� ;w,j� '1 i��.;� <br /> PROJECT ADDRESS � <br /> Owner Mail Address � Ciry State/Zip Phone <br /> /-�S/A,N� /;iSj�U <br /> Tenanl Mail Address Ciry Slate/Zip Phone <br /> Cr�iE97 I✓A// � lL�'Tr.�C / NL OS,.73 J�yr �l�6 .J �9TTLc G✓A �Pi�t (o?cE�fr'j89/6 <br /> Electrical Contraclor Mail Address Cil� State2ip Phone <br /> �REa'l IJC". �Sy�C Cj 'l,��OCXJ <br /> State License Number Contract Price ot Work <br /> �lCTAi L ST�t/E <br /> Proposed Use of Building Contact Person (Plan Review) <br /> L / <br /> Description of Work to Be Done: ���'/�iC,?� 7� ! f UQ Y"!/E ��sT•a✓Rd�� _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> I ' � <br /> �J <br /> � �' _' - <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby cerfily thaf I have read and examined fhis application and kno�v the same to be frue and <br /> correct All provis�ons o//aws and ordinances govermng this type o(work will be complefed <br /> whe(her specdied herein cr not. The granting o/a pernut does nct presume to give authonty to I <br /> violafe or cance/Ihe provisions ol any other sfate or loca/law regu/ating construction or fhe <br /> perlonnance oI construc6on. Thaf 1 am authorized by the owner ol ihis propeRy fo perfomi the <br /> work for which appl;cation is made and 1 comply with Ihe State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> /-�� .--1- <br /> �,�_-_,_ ////� � <br /> �gnafufL—=-,=--� Dato � <br /> � " / <br /> � /I '• ..�J � <br />