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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> �200 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 /> � , <br /> � �I'�� � �, ^VJ� I � �� I'dC � 1�� 1 ( f; 1�1� �'i 2D'i <br /> PROJECT ADDRESS <br /> � 'i , il�J � :���,• c _;)%'I �1� II �� .,,i,;lll 1 �./F. VCj� lII'i �jJ� J : I %"'j'` . . <br /> Owner Mail Address City Stale2ip Phone <br /> Tenant Mail Address Cily State/Zip Phone <br /> � � 1'i� I;����n�ii�IV� �'��1cvcH i4:;� i •_lo "luoo <br /> Electrical Conlractor Mail Addruss City Stale2ip Phone <br /> v-6�'�' �'it� � �, '.� . �i, <br /> State License Number Contrect Prica o(Work <br /> Praposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Bo Done: <br /> �n����t- CI[� It �c �.�� i�.�_ i��i��il � �'l1Si �?i: �'�C4�/ �VCr�IkcV ����% � �.G�C� O�iI� iS <br /> � <br /> � <br /> � <br /> �'r" � h�11 i 1 :;�1� � 1?'_ <br /> NOTE: WIRING IN NON-DWE'�_LINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cortily fhal 1 have road and examined this applicalion and know Ltie same to be true and <br /> correct. All provis�ons o(laws and ordinances goveming fhis type ol work w'll be complefed <br /> whethor spocified hertain or noL Tho granfing ol a permd does nof resume to givo authonty to <br /> I vrolato or cancel the provisions o/any ofher stata or local law reguPfing construchon or Ihe <br /> peAormance o/consfrucfron. Thaf!am authorized by the owner ol this property fo per/orm fhe <br /> work!or whicli application is made and I comply with the Sfafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ,! .`J`�C�,�-- SS�' ���vv1 '�� 21�200� � <br /> Sfgr,��UfB ale <br /> i <br /> 1��� �, _ � ,�-- 5 <br /> �:> <br /> i <br />