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{' <br /> 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 .f _ �7_ �� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � d�U �I S C� <br /> PROJECT ADDRESS <br /> �.���,� ..CJ.��i'u:� �'2�d � G�r�sf ,�'/'J ���;-.�� �!',�S asl� 3�Cy. <br /> Owner A1ail�ddress Cily State2ip Phone <br /> Tenanl Atall Addross Ciq� Slate/Zip Phone <br /> �/c�TG�or/C �/��e�i^i[ ,C,. �?�� ��' 07,�� /as J�//.!l C��J. J�'c��/�O.Z.i,� <br /> ElecUical Conlractor M11ail Addmss Cily Slale2ip Phone <br /> i'!/GT �.��LQO��I �' �J �� /b� 6 �� <br /> Slate License Nwnber Conlr ct Price ot Work <br /> t �g ��t�.G� <br /> �� r�d�c� o?OG - � zp- .i�/ � <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> Descriplion of Work lo De Done: �'lS�y`� Sr��9' � �11Y����«�' v �o w�ia,��lr�- <br /> /� � <br /> � <br /> ( o w'�.�a �{.� /�/�<—�f <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(hat 1 have road r�nA examLied this application and kno�v the same to be frue nnd <br /> correcL All provlslons o(/a�vs and ordinances goveming fhis type o/�ro%: will be completed <br /> n�hefher speci(ied herein or not Tho granting of a pennd does nof prosume fo give aufhonty fo <br /> violafe or cancel the provisions of any ofher stafe or locol la�r rogulating consWction or fhe <br /> pedomiance o/constmcfion. 17iat 1 am authorized hy the o�rnero(this property fo peAomi the <br /> �vork lor whi;fi application is made and/cornply tirifh Oie Sfate Contractors Lew 18.27 RCVV and <br /> 296.200 WAC. <br /> ��,..�,':�cr'Gf�.��u.� �/ZG/� <br /> Jinn;,;tm; Date <br /> FO�d�'I�'J <br />