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. <br /> ELEGTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi, WA 98201 a—lz—D� <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org ���OZ.�jS� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � �^ <br /> . <br /> � ���� -�,, -; ,�;;-� ,/�''` - �/, .> S � � ,�� � ��1 � <br /> � <br /> PROJECT ADDRESS <br /> � � __ <br /> � �� "�/ .s� i1, 1 <br /> Ownef A1ail Addross Clly Stale/Zip Phone <br /> ' _. <br /> i <br /> �9?�: ,a���l�� ���� �d�°�'�� 1-��G�� �"�(lr`�f�` �.,,,� � <br /> Tenant MailAddrn�so D �y��� c�ry Slale/Zip �nooc <br /> f" CJ r� , , J�� y's`;'8,%�-�TD <br /> '��/��% �„fZ�%'Ci`1�r ' Uri�c,,�i�'��_�J:%�.:/;��G� ��f.�%����� <br /> Eleclrical CoNraclor Mail Address City State2ip Phone <br /> � <br /> ������' 9Y�'���Cl. "'. �0�. <br /> State License Number Conhacl Price oi Work <br /> � iJf�✓(/c�C� _ <br /> Proposed Use of Building Conlacl Perso�i (Plan Review) <br /> n r <br /> Description o(Work lo Be Done: //��w /�//�/-�r l`U� �f''�-e'� ���S� f'.�`�� <br /> �L��/ �7- ��, /, .�;iN:� <br /> � v� � � . <br /> NOTE: WIRING IN NON-DWELI_INGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CADLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certif}�If�at 1 have read and examined this applicafion end know the sarne to 6e t�ue end <br /> I cor�cL All provisions ollaws and ordinances govenung fhis fype ol wcrk will ba completed <br /> whether specified herein or noL The granting of a perrnR does not resumo fo give authonty to � <br /> violafe or cancel tlie provisions ol any otl�er state or local la�v reguPting construction or fho � <br /> performance o/consfrucfion. Thaf 1 am au0iorized by the owner o/this property to pedonn fhe ,� � <br /> work lor which application is mnde and 1 comply�vilh fhe Stafe Contractors Lnw 1827 RC W and � ,(�- <br /> zss.zno w.ac. - <br /> � ' i / ,l; �i� <br /> � ✓ �� <br /> i , <br /> �1��/ �"�' .� �`� � ! <br /> �,��,,� <br /> ! �Siynature � • l7ote <br />