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ELECTRICAL PERMIT APPLI�ATION <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 �ROM 8 AM TO 4 PM �— �!7—(J� <br />' , �c, �jj,,nlcaa�� ��Nc <br />PROJECT ADDRESS <br />���� �� ����v1N�/1-�� <br />Owner Mail Address <br />Tenanl <br />L� L i(L/� l l,C'UCM�. <br />Eleclrical Conlraclor <br />�.`�I,�YLfa ��1. `11.� :'i <br />Stale License Numbcr <br />Proposed Use of Building <br />MailAddmss - <br />5^^u i�: . <br />�(�b'L� � � ��r il�Jn <br />A1ail Address <br />city <br />Ciry <br />'� r,0 i'i�� � <br />/���N��J <br />City <br />E O 6 0 7.-03� <br />State2ip Phone <br />State/Zip Phone <br />�JA �ib1L� �:.61'�01�� <br />StatelZip Phone <br />�S�a� <br />Conlracl Price of Work <br />Conlacl Person (Plan Review) <br />Descr'ption of Work to Be Done: 1G� �� �� 1`� 5�� �^'f� AL S� �"��` �� �- �' ° '>`-� _ <br />� �. r..� J r�ti <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />C�TY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cerfily tliat 1 have read and examined fhis applicalion and kno�v the same to be true and <br />conecL All Arovisions of laws and ordinances governmg fhis type o/ work �vill be compleled <br />whefher specilied herein or noL The granting ol a pennd does not presume fo give authonty fo <br />violate or cancel fhe provisions o/any other state or local law regu/afing consfrucfion or the <br />performance o/ construction. Thaf 1 am aulhorized Dy the owner ol fh�s property to peAonn fhe <br />woik for whrcli application is made and I compty wifh fhe State Confracfors La�v 18.27 RCW and <br />L.� ���� �� �� <br />FEE <br />