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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 L� ��oj-D� <br /> 425-257-8810 - FAX 425-257-8857 -www.everettwa.org G D�O�`� a 3 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Sy� � <br /> s �iu��v��,r�%) i��'�= <br /> PROJECT ADDRESS <br /> S i-lui� u':(j� ��� �� � ���� �� �u�Rf-_�1o�..�r ��� �=� �,.` f� qA�03 <br /> Owner Mail Address City State2ip Phone <br /> � � ��._�� _ <br /> Tenant hlail Address Cily State2ip Phone <br /> Nl� V 1� � � 1_.\S=<1 1�-� L L� I N L <br /> EloClrical Conlreclor Mail Address Ciry Slate2ip Phone <br /> O'v <br /> ��(,Li l� j=-l.0 ( 3N J �f 40 C� — <br /> State License Number Contract Price oi W ork <br /> L' 0 M�7�11=�=l.l AL. <br /> Proposed Use of Buildin� Conlacl Person (Plan Review) <br /> Descriplion of Work l0 6o Done: (.' r��11t� �.'.�pSl�(� �'j�(�L,� � N«-lAP IN (,� <br /> L��,��,����c.cs';���L_S �' s�v, r�r�� � �'A7�U� �fl�lu��-s. <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. -;G <br /> l G' Z_ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have read nnd examined this application and know the seme fo be frue pnd <br /> comecL All prov/sions of laws nnd ord'mances goveming fhis type of work will be complefed <br /> whefher speci6ed herein or not The granting o(a pemnt does no(presume to give aufhonty to <br /> violafe or cancel the provisions ol any other stafe w locol la�a regulafing wnsfruction or fhe <br /> performance ol cons(rucfion. Thut 1 am aufhorized by Iho o�vner o/this property fo perfonn fhe <br /> work!or which applicafion!s made and I comply with the Sfafe Contractors Law 18.27 RCW and /� <br /> 296200 WAC. <br /> �T � � �j- 13.3 <br /> ���'ip'nalu�.� �� Date �� ��l �(�.�„�� �1 <br /> i-.i ___� U <br /> � <br />