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t <br /> �LECTRICAL PERMIT APF'LICATION <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 /> /d// �ov,.i ..t:. f��cti 11 <br /> PROJECT ADDRESS <br /> s�.�s� 13A�'�v /�,i c�.,� .s, £:��..�r ��as����j y��ir? <br /> Owner � Mail Address Ciry Stale/Zip Phone <br /> Tenant Mail Address Cily Slate/Zip Phone <br /> /nF'!'e„ £�act�t,� �.2Sa� 1�3z��.rJF 1...-0'`N.H •51�, l✓�` id'?`iG L/JS2)�3, <br /> , S <br /> EleClrical CoMraclor Mail Address City Stale2ip Phone <br /> �u�i'(,���c 5 7 Z A P <br /> f � 2 �3 - 11 ��� ss��� <br /> State License Number CoMracl Price uf Work <br /> J�f t'�,t/'--••_•_- - <br /> Proposed Use of Buildinc� Con�acl Person (Plan Review) <br /> Description of Work lo Be Done: TAK�e fA�� £x,5�-� .SvQ � � 2�..SC: �eP��1C`'- <br /> G,� 1? Nt�.l— U../Z , <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 hemby certify thal l have read and examined fhis application and know fhe same to be tnfe and <br /> correcf. All provisions uf laws and ordinances governmg this type o/u�o�k�vi/l be complefed <br /> whether specdied herein ornoL The granfing o/a pennrt does not resunw fo give aulhodty fo <br /> violate or cancel fhe provisions o!any other state or local law reguPating construction or the <br /> peAommnce o!consfruc(ion. That 1 am aufhonzed by the ownzr ol thrs propeRy to peAonn the <br /> work lor which application is aiade and 1 comply with the Stale Contractors Lan� 1827 RCW and <br /> 296.200 WAC. <br /> - - �:>�L y�7��(: <br /> �--�.� <br /> Signaturo � Date ,�� <br /> ���_ ��� <br /> �� , <br />