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ELECTRICAL PERMIT �PPLICATION <br />CITY 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 />� � Q � .. '� , �-_ �/L—���=1 1 �S /-1 L� \�� �y <br />PROJECT ADDRESS <br />��(.� \� � � =� `� � O <br />, � <br />�c,l-,�-,�t 1 <br />�.. ��-O�i <br />c=oSoS -��7 <br />c-�-�- � ,�.Lc=. zoG, �S"� iti I�, <br />--� � I P_e�_ [�x �'�7'3 <br />t�c� u1 _�� I�( �����, �(; � 48z� <br />Owner Mail Address � City StatelZip Phone <br />`�fa�.Cl� t�,�L�C �� ct ��= S_•� ��r_�''LrT1�tn�L c.ii+Y <br />r `�L'.l \ � �l';�1 CV'L�L II 1�..�i�-r ���1``r� <br />Tenanl <br />A�iail Hddress <br />City <br />State/Zip <br />Phone <br />ZUC� a� <br />�� �� �_ _�� � c t-�: _X �� 73 ��r_' �3��r�� <e; A `=i �; z`t�r i �r �� - <br />Electrical ConUactor Mail Address City State/Zip Phone <br />j--, 7 b>����_ L.�_ ; <br />`C � <br />Slate License Number Contract rice of Work <br />�_��=�.,��, ��r�L� C i <br />Proposed Use of Building <br />Contact Person (Plan Review) <br />Description of Work to Be �ane: � L�`�–` ������ � T�1 �'���—%�� �� �� � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETf LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily that I have read and exarnined Ihis application and know Ihe same to be true and <br />correct All provisions o/la�vs and ordinances governmg tlus type o/�aork �vill Ge completed <br />whether specilied heiein or not. The granfing ol a pennd does not ��esurne fo give authonty to <br />violate or cancel (he provisions ol any olher state or /oca! law re�uPting consfruclion or the <br />pe�fonnance olconstruc6on. T!�at I am authorized by the owner o/ tlus propert}� to perlorm the <br />work lor which applicafion is made and 1 comply �vifh Ihe State Contracfors La�v 18.27 RCW and <br />296.200 WAC. <br />t�tif'�lt��,)'--- �� ��, C_(��'s��-_�I'1���� I_.�--�- <br />''.�:�;_�,,�-�'.� _�«���, ti��aN�c:u.<' �lz1lc�� <br />FEE <br />i.:�v l �' c' D� rl <br />