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ELECTRI�AL PERMIT APPLICATION <br /> GITY 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 � �y ��3 ��S- <br /> %�5 D S�_ c✓�,.•��1i��.�i/i�h� ���Z�f <br /> PROJECT ADDRESS <br /> Owner Mail Address Cit�� State!Zip Phone <br /> � �,%53 <br /> S_/e°�T !�����'�� 70Z� S • 3,�U��' S-t �✓ � �✓,�- 9,�03� s��-v� 3o <br /> Tenanl Mail Address Cily State/Zip Phone <br /> ����,�/i�9✓�r.Yr�/, �C�n_�n;��) hv,� ' c <-,�ohcm��sf� W�. �Z�'Z`11 3G�0 -SloP-�fy'JL <br /> � <br /> EIeC riCal ConUaClor Mail Address City ` r�y SlalelZip Phone <br /> �����2��, <br /> 1,�� �� fj�,4�.��J��nc�c>D/t,H <br /> Stale License Number � Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ���i/v F� j�fl-fi? . ���%✓�^.:.� .%a'l�:eo � /P n,J�r��i ov� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY Of EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heieby ceAily that 1 have �ead and examined this applicafion and know the same to be frue and <br /> correcL All provisions o/latvs and ordinances c�oveming this type of�vork will be comple(ed <br /> whether spea6ed heiein ornoL The granting oI a pennd does nof iesume fo give authori:y to <br /> violate or cancel the provisions of any other state or local la�v reguPting constiucfwn or the <br /> performance ol consfrucGon. That 1 am aufhorized by fhe ou-ner oI th�s property(o peAorm the <br /> work lor which application is made and 1 comply with fhe Sfale Conlractors Law ff3.27 RCW and <br /> 296.200 WAC. <br /> /� � <br /> _ f'�/�i'�����sr"""r, �G' �3 -v r �>� <br /> i naWr ' �/� Date � � <br /> J -) /� <br /> / <br />