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�LECTRICAL PERMIT APP'LIGATION <br />ClTY 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 <br />;;, 20 Eaxsz�tF tM A-u. i,�� � Su �{�Z4 0 <br />PROJECT ADDRESS <br />�-�--.� -1� ��. ��cc.�- � �I` 6ZJ � f�c:6l l�Att. G<?�,S�.�t�#3Gi7 <br />Owner Mail Address City StalelZip yZs 3��7 Pn� � 3 <br />! J ,,,,� �_ � �: k� � o �4 �'oZo�', <br />Tenant �`iG�� � 'I d� City State2ip Phone <br />= ,/�LS �m� Y��i77nn/� 2�/Z �i.vAi4L-s< //.f�n/Zic Lt>f% �-77 .�'�s�yy9�s7 <br />EleCtrical Conlfactof Mail Address Cily Stale/Zip Phone <br />�iu.� N�''97i i�a� <br />State License Number <br />� y —� �� <br />Proposed Use of Building <br />� ^ ��O � <br />G <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />�� � �J , } <br />Description of Work to Be Done: —�`��—T°�*� �F'cetG��'ll O�.?Fif X1L71'�S ��X i�fi �J� � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certify that 1 have read and examined this application and know fhe same to be true and <br />cunect. All provisions ol laws and ordinances �overning this type oI work will be completed <br />whether specified herein or not The granting ol a permd does not �resume to give aufhonty to <br />violate or canrel the �rovisions of any other state or local law regulating construction or the <br />per!ormance o/ construcfion. That I am authorized by fhe owner o/ this property to perlorm the <br />work Ir,r which application is made and 1 comply with the State Contractors Law 18.27 RCW and <br />296.20li WAC. <br />FEE <br />�= � (r U � —c�'�' <br />