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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 c� _ a o -o b <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> �b G o �--oQ3 <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> i-. ., • . �_ , �,� ��� F;,r; � r ' � , �' <br /> J , it - �, 1 � f, <br /> PROJECT ADDRESS <br /> � �r? f) � (� j��ti�1d �(�� �� �C�r....mr f�'.rF`t �a� /-,, ��c,� I � l� � C) ', <br /> Owner Mail Address City State2ip Phone <br /> Tenanl A1ail Address Cily Slale2ip Phone <br /> STEI;� :.IF�����Jr i 'v'J1O 9' '1�'��P i{,�.'.:) F�,,,r, / ��< <'l,CrlrUnnr, LCJ� ,i���,^' 7 3(o i�'z�;- �'�5D <br /> Electrical Conlractor Mail Address Cily Slate/Zip Phone <br /> �� (IAi> i' [> <br /> ; IE/�i6.i/-;l= �ir� IT�_ <br /> Slale License Number Contracl Prico of Work <br /> c �, <br /> J <br /> Proposed Use of Buildinc� Conlact Person (Plan Review) <br /> Description o(Work lo Be Done: �'�". E (r'' (` 1 �E � �< ��F� X <br /> ��XI � I 1,' 1,�, J i F� c�_ . <br /> �' F�L t=r��}Y'� � �� Gi �/' « I TS <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S 3105 <br /> 1 bereby certily thaf 1 have read and examined this opplicafion and know fhe sarne to be 6ue and <br /> conect. All provisions o/laws and ordinances c�oveming fhis type o(�vork u�ill be cornpleted <br /> whefher specified herein or noL The granfing ol a pemut does not resume ro give aufhonty to <br /> violate or cancel fhe provisions o(any other state or local law reguPting constniction or the <br /> peAomrance ol cons(rucfion. Thaf 1 ant aufhonzed by the owner o(this properfy to perforrn Uie <br /> work(or which applicafion is rnade and 1 comply�rdh fhe Stafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � � ��.(f� �.� J���/'_-l.n / �� -�� (,� - c'L' _ ���'� <br /> ' SgnaWre •- � Date 1��� I, <br /> �� U <br />