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ELECTRlCAL PERMIT APPLICATION <br /> CITY OF FVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREl-f, WA 98201 1 p ., �/�OS <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> 6=05/D �/�� <br /> APPLIC.4TIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> J 0�7C', � rvc�..•: �.t�/ S -F-. <br /> PROJECT ADDRESS T <br /> Owner Mail Address City Stale2ip Phone <br /> �� �CS c° at,L�� l (�Od ` tici✓S�4-h i/ S ry' £ ,..i �(J L✓.i`� '� <br /> Tenant Mail Address City State/Zip Phone <br /> �4-r �. e��«luf�.iilf/�r• /'+� 'G'�OXI/.�i ���J/�i� � !✓%f��7J ��LJ �1�CGG%g" <br /> Electrical CoNraclor Mail Address City State/Zip Phone <br /> � �� r�i rc � � `7 S� C> ;S L?>Do �- <br /> State License Number Conlract Price of Work <br /> Proposed Use of Building �ontacl Person (Plan Review) <br /> Descriplion of Work to Be Done: ��v S��-'����- ��� ���� G�"��� ����� <br /> �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS 3105 <br /> 1 hereby ceRily thaf I have read and exarnined this application and know fhe sante fo be true and <br /> correcL All provisions o//aws and oidinances governing this type ol work will be completed <br /> whether specified herein o�noL The grantin,q o/a permit does not presume to give authonty to <br /> violafe or cancel the provisions o(any other sfafe or local law regulating consfruc6on or fhe <br /> perlormm�ce o(construcfion. That/arn authorized by Ihe o•�vner o/fhis propeRy to peAorm the <br /> �vork/or which applicafion is made and 1 compty with the Slale Con(racfors Law 18.27 RCW and <br /> 29ti.'LOO WAC. � -. <br /> ��-�%�-�c� ��:r=��� �� 2 ,��J/ <br /> Signalure Date � <br /> jC� " />�r �. <br /> � <br />