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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-2:�7-8857 -www.everettwa.org <br /> APPLICAT�ONS ARE ACCE'TED FROM 8 AM TO 4 PM � � g ..�� <br /> ' 11C� �iz�nn�i 1���=� C v et �ti V.le, ���7c�1 <br /> PROJECT ADDRESS <br /> �icU� 1,nr�`1 �-il�� �-2��av I�v� CdERci-c �A `1�.�ZD1 Z.��i��l�u-Olo +1. <br /> Owner Mail Address City State/Zip Phone <br /> S[�,,, _ !1<� t1�'i,vE . <br /> TOnanl MailAddress City State/Zip Phone <br /> `�,.,.�� A�� �1���� <br /> Eleclrical Conlraclo� Mail Address Ciry SlalelZip Phone <br /> St�;c!iccr.s: Numter Ccnlrad Pr,ca cf V:erA <br /> %�, G. ` <br /> �E >1r�.L,IE �t l�vr�\L`I . <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Wark to Be Done: � 1PC�r'—taDC `7�RV t�L i r\N�L �RoiT� L�(\S��N�� l� lo • <br /> �ZSP C-,rznvrot� �c-F'v�c�- . <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 /> I hereby cerfily that 1 havo read and examined this application and know fhe same to be true and <br /> conect. All provisions ollaws and ordinances governing(his fype o!work will be completed <br /> whefher spealied herein or noL The granfing oI a permd does nof pmsume to give authonty to <br /> violate or cancel fhe provisions o(any ofher sfate or local law regu(afing construction or the <br /> peAormanco o/consWcbon. That I arn aufhonzed by fhe owner o/fhis property to pedomi fhe <br /> work lor which application is made and 1 comply wifh fhe Slafe ConVacfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> _ _ �� � <br /> __— <br /> ignaluro � te <br /> �/� I/�� <br />