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EL�CTRICAL PERMIT APPLICAT�ON <br /> CiTY OF EVERETT PERMI7' SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 93201 <br /> 425-257-8810 - FAX 425-257-8857 -�www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> ���� �Uc:�'Tt' �2� v,� _ <br /> PROJECT ADDRESS � <br /> Owner Mail Address Cily Stale/Zip Fhone <br /> �.�,-�r t�zv_.u,,_��:�� (cX�c� c v rn 2 t.� �,�-��} �=:r<_--�-�t-t, �J� �j P�.:�g <br /> Tenant Mail Address EytY State/Zip Phone <br /> -'' c Z�, =' �! <br /> z�,- C;��,.�. �, �zv� 1 � >I-� S �.��. �� `is� ' � ` <br /> Eleclri al Cont aclor Mail Address Cily StatelZip f�hone <br /> ;�.:�lu C,Lcxa� Lt�- Z`'LF-� �` — <br /> . <br /> State Lic�Nutnber ConUact Price o(Work <br /> Q(�� �, - <br /> Proposed Use of 6uilding Contacl Person (Plan Review) <br /> Descripfion of Work lo Be Done: ��..+�' �1 C��r ��� — <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 6E IN RACEWAYS, MC OR AC CABLE. <br /> i CITY OF EVERETT LUCAL SALES TAX CODE IS 3705 <br /> ilI hereby certify fhat I have read and exarnined this applicafion and kno�v fhe same fo be tnie and <br /> � correcL All prowsions ollaws and ordinances yovernrng fhis rype o(work�t�ill be completed <br /> whefher specilied herein or not The granting o/a permd does not presume to give aufho�ty!o <br /> vio/afe or cancel the provisions o(any other sfafe or localla�v regulating construchorr or fhe <br /> , I perfonnance o/constiucfion. That I arn aufhonzed by Ibe owner o/fhis property fo peAorm the <br /> work/or�vhich application is made and 1 comply with the Sfate Confractors La�v 18.27 RCLN and <br /> 29G.200 V✓AC. <br /> , , <br /> � j.., " � �v� [' � <br /> � � i �, <br /> --, .�!Sign� re Dat <br /> C�.�(;�Gl - f ��' <br />