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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, 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 />5n _a �� 1_= % ��ls� / �� <br />PROJECT ADDRESS <br />Owner <br />iC �� JC�':' J�, C.i''.e5 7`"t�� �G <br />A1ail Address <br />Cily <br />Stale2ip <br />� � ������ <br />L �' c�� �J --�% ;� <br />Phone <br />Tenanl A1ail Address City Slale2ip Phone <br />�o•G .�zp-33� ; <br />�'G �k�oi',� ��i oci'i.'c; / l ��i �Ja 7f 2,� `J� .�oi7`'%��'i� �iQ- �L�/- a 2 � �' <br />, <br />Electrical ContraclOr Mail Address Cily Stale/Zip Phone <br />LI —� - I CU <br />t1/L f�uDc-� Ufls 3��, <br />Stale License Number <br />Proposed Use of <br />Descriplion of Work to �o Done: <br />`1 � i�v,'7✓o / <br />�So� <br />Contracl P�ce of \Nork <br />�' %��.. e:� <br />,,7dG Z z y• 33/ i�-- <br />Conlacl Person (Plan Revicw) <br />�� <br />�/ , e�v_�r.•i�� �. <br />/Lf7�.�.'-.l� SG'.%c�.l1r LYI:�.(�(��'}' ��' <br />�. , <br />t <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certi(y that 1 hav� read nnd exarnined this application ond knou� the same fo be true and <br />cormcf. All provisions ollaws and ordinonces �overning this rype oI �tirork will bo complefed <br />whefher specifiud herein or noL The gronfing o/ a pemut does not presume to give aulhonty to <br />violato or cancel fhe provisions ol any other sfate or local law re�ulating construcfion or fhe <br />perlormance o( construcfion. rhat 1 arn aufhcrzed by the owner o! fhis p�operty to perfomi Ihe <br />work (or �vhich applicafion is rnade and 1 comply wifh fhe Sfate Contractors Lo�v 18.27 RCW and <br />296.200 WAC. <br />FEE <br />- �-- �i�.�/��' �7� -� l i �- <br />ate <br />