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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 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� � � 1 1'tz� <br /> PROJECT ADDRESS <br /> �VlTL)a_ ILO,� I �cJ� �n� �VC1 r� l I L.J�/ 1 �,...�7I <br /> Owner Mail Addross City Stale/Zip Phone <br /> Tenant Mai�Address City Stale.2ip Phooe <br /> �f"I�� C.It"�' � r �N08 ��)� �I ��Q� �a�toH, i51� (J�Y 0 .�Ob a�iZ'� <br /> Electrical Conlractor Mall Address City S�ale/Zip Phone <br /> �}-I� /�-F,rc.�ic.�� v�'� �'�'�� <br /> tate Liconse Number Contract Price of Work <br /> Proposed Use oi Building Contact Porson (Plan Review) <br /> Doscription of Wark to Oe�ono: � S-v�c Y�� I�e= V�-- u c�� 1 <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 certily thaf 1 have reod and exnmined fhis applicafion and know fhe seme fo be fruo and <br /> correcL All provislons olla�vs ond ortiinances govommg th�s type of work will be cornpleted <br /> �rhether specifie herein or noL The granfin�ol a pernut does not prosume ta give aufhont}�fo <br /> violate or cancel he provisions oI any ofher stafe or local la�v regulafing construcbon or Ihe <br /> pe�fomiance of c rosfnicfion. T�ot 1 ant authorized by tt'e o�y?er o(this property pe omi the <br /> work lor�vhich a lication iscmado�d�1 mpI}%a�it •�e Sfaf Con6actors La�v 8.27 RCW and <br /> 296.200 IM1�AC. /� <br /> � cC � _ - �I ; z k��_ 'l� <br /> --� a'� <br /> Signalure Date �� <br /> � <br />