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ELECTRICAL PERMIT APPI_iCATlON <br /> CITY OF EV:ERETT PERMIT SERVICES <br /> 3200 C�DAR STREET, EVERETT, WA 98201 � Z_ �.�bg <br /> 425-257-8810 - FAX425•�57-6857—www.everettwa.org Co��Z _DaD <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �OO /�G G� /!GI l q �UT <br /> PROJECT ADD S <br /> Owner Mail Addross Cily Stale/Zip Phone <br /> Tenanl S1ail Address City Slale/Zip Phone <br /> �{���e rlcc�n��i I�cI. �/ti. �OYZS y'—` 9L -fE l�� I�C�P/!/ �A 1��U� ���U1�71 <br /> Eleclrical Conlraclor htail Address City State/Zip e Phone <br /> 1�JN-p��' 91 ZQ � �G� <br /> Slale License Number Contracl Price of Work <br /> Proposed Use of Building � Conlacl Person (Plan Review) <br /> Description o(Work to�e Uone: ���Gv e�/1��,� SC/�r/iZ e <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIREU TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily Ihat 1 have read and examined fhis applicati�n and kno�v the same fo be frue and <br /> correct. All provisions of laws and ordinances�oveming Plua type o(worl;will be cornplefed <br /> whefher specified herein or noL The granting o(a perrnd does not prosume fo give aufhonty fo <br /> violafe or cancef fhe provisions of any ofher sfale orincrd laa�re�ulnfing consfrucfion orthe <br /> peAormance o!conslrucfion. That 1 am aufhonzed b}�fhe owner o/fhis property!o pedomi fhe <br /> �vork for�vhich applicafion is mnde and 1 cornply with fhe Sfate�ontmcfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> �� �i <br /> � �-D�'at���0 /,�I � -,�.. L) <br /> J <br />� <br />