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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES y ` � � � 7 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org �' r 7 �l C�_� dZ <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> � -kl� � , . i (l i� �����''�' " � ��-� ���_� <br /> l�.�-�—rr�"s'r �/ <br /> PROJECT ADDRESS <br /> t�a k c-F Cv«� fk �lo`! I�IfhSt s� r3o cvv�+k l✓ .4 9$ao l _ <br /> Owner A1ail Address City Slate/Zip Plione <br /> Tenanl Mail Address City SWte2ip Phonv <br /> ��5,75N-i�ofS <br /> Se�.k,,.�s � Ei + � Voo3 s ��-tia�� C��-�+-� wa{ s�aa i — <br /> Electrical Conlractor htail Address Gry Stale2ip Phone <br /> seRNkE2o�'� aN �faa,335 <br /> Stalo License Number Conlracl Price of Work <br /> 13o�.h' wc.S � <br /> Proposed Use of Building Conlacl Person (Pian Review) <br /> Description of Work to 8a Done: 1 ns#-�i l 13�w.aL. ����l�i �. 1 Pa I C � -F o � <br /> � _ Bo�k w�sL, (�4,�� , � . <br /> , <br /> NOTE: WIRING IN NON-DWEL�INGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have read and examined this application and know fhe same to be fruo and <br /> correct. All provisions olla�vs and ordinances govemmg this fype o(work will be complefed <br /> whefher specified herein or noL The granfing ol a pennd does nof resume fo give aufhonty to <br /> violalo or cancel the provisions o(any other sfafo or local law reguPting construcUon or the <br /> peAormance ol conslrucfion. That 1 am authorized by the ou�nar o/this property fo perlomi the <br /> wo�k(or�vhich applicafion is made and I comply with the Sfafe Confractors La�v 18.27 RCIN and <br /> 296.200 WAC. <br /> ,,� �� � , 3 ia� o � <br /> ic�naWre Date <br /> � C7U'-I- l�>� <br />