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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 G `; 3_.O � <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org C-o 86 6-��6 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �����v�-�-+� Ay�.-�. <br /> PROJECT ADDRESS <br /> '���� �-� S���I� �y2�, � Z�_ y� <br /> Owner Mail Addross C!ty Slatc/Zip Phone <br /> Tenanl Mai�Address City State2ip Phone <br /> ����.�����,, ��� � ( u�� ��z- u��,� <br /> Eleclrical Contractor � Mall Address Cily Slale2�p Phone <br /> cT+ <br /> ��\C,��N�C.�f�-�S� �►vJ � � � �ur <br /> S ate Licenso Number Contract Price of Work <br /> Proposed Uso of Building Conlac!Person (Plan Review) <br /> Descriplion of Work lo Bo Dono: ���L- L-l���� �� ��l�S�`�UV V vv � <br /> --���''�'� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �EE <br /> BF IN RACEWAYS, MC OR AC CABLE. c11, <br /> l�C <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have read and examined this application end know fhe same ro be true and <br /> correcf. Al!provisions o/la�vs and ordinances goveming this type ol work n�ill6e completed <br /> whether speafied herein or neL rhe granfing o(a pernuf does not resume to gire authonry to <br /> violafeorcancelfhe ProvisionsolanyofherstafeorlocallawreguPtingconsWctionorthe <br /> perfomiance o/consfrucfion. Thaf f am aufhnnzed 6y the o�rner o/Ihis property to peNonri the <br /> work lor which application is mado and 1 comply u�ith the Stnte Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��i ��/��� �� - <br /> ` Si���fdifc� � Da <br /> �G� �a�o ���7k <br />