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( � � � <br /> �LECTRICAL PERMIT APPLICATION <br /> CITY OF EVER�TT PERMIT SERVICES �� ao -� �- <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org G�120 4—oD5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z�Z�-� Gd�`l!�-� ���E r �iE�-c�� <br /> PROJECT ADDRESS <br /> S��C� CJ���.��s- OflG��r�o �.�� - %�6 J'� s c.✓ (� 13 , <br /> Owner Mail Address Clty State/Zlp Phone <br /> �.,Y.��-c.�o-a o, 4,� Y 8'0 3 b <br /> i/��'�,�,-�--' <br /> Tenant Mail Address City State2lp Phone <br /> ���,,z e ��c��-,�.� � y.Q-Lr�.,�a . �b-6��- �y�o <br /> Eleclrical Contractor Mail Address Ciry Slate2ip Phone <br /> �14U�1� ��Cq3� n � -A� �D � <br /> S:ale License Numbe� Conlract Prise of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: ���� ���d �� �� � <br /> �on�(,u�1 , ��ql�f �ixlu�e � �'e -v�lif e <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. �O C�� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1ltereby certi(y that 1 have read and examined this applicalion and know the same to be true and 1�, , � ( n <br /> correct. All provlslons of laws and ordinarces goveming tltis type of work will be cornpleted �V V � Zo`j–l.'�� <br /> whether specified herein or not The granting of a permit does not�resume fo give aufhonty to <br /> violate or cancel the rovisions ot any other state or local law reguleting constructiun or the <br /> peNormance of con.s�n�ction. That 1 am authonzed by the o�sner of this property to perfomi the � <br /> --work lor-which-epp cation ismede�and-!comply with the-Slate�Gonfracto�s L-ew-18:27 RG W end — <br /> 296.200 WAC. <br /> � 7' 20 (2 ' <br /> Sign ure Date <br />