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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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> (} c� � � G!�'i�'i� � �llrc t <br /> PROJECT ADDRESS <br /> LCtr�./ �rc,.� ��5�� C�z.�i rc'i� i�'( G�,e��7r ���� �.�5.252 95-� <br /> OYmef MailAtldruss Cky State2ip Phono <br /> Tenant Mail Mdrnss Ciry State2ip Phone <br /> V/,�i'��._� <br /> ElectncalC00hattOr MailAddross Ciry Smto2ip Phone <br /> State License3 Number ConRact Price of Work <br /> ST'� <br /> Proposed Use of Building Contad Person (Pian Review) <br /> DescripfionofWorkloBeDone: ���/1�� I1C��i�r�' Q(1<C }�� ��-I �pn ��•� P ,�1,..�� c✓; � <br /> �. ,�,:I �I �;��r�- s LV ��(,���. <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS J105 <br /> 1 hereby certily thet 1 heve reed and ea�emined this epplicntion end knmv the seme fo be I.ve end <br /> correcL All provisions olleus end ordinences govemmg fhis type ol�vork�vill be comM^:::d <br /> tvhether specilied herein or noL The grenting o!e permrt does not presume to give authr.ity to <br /> violete ar cancel the provisions o)eny ofhersfete orlocellew reguletin�construction orthe <br /> peNormence o/constmction. Thet 1 em euthonzed by the o�rner a(this property to peAorm the <br /> �vork lo��vhich epplicafion is mede end I comply with thn Stale Contractors Law 1827 RCW and <br /> 29G.200 WAC. <br /> � �j �' (� <br /> �,/'� c�% %J /� (1 �� ����7Lf.�� <br /> �� <br /> �� 51 tuio/ L" Dato <br /> /� <br /> ������ - � �o� <br />