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ELEGTRICAL PIERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 320G CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 -www.everettwa.org I —I3—�G <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM CI00I--O a I <br /> � q � p J n.�6csoQJ {'�✓E_ <br /> PROJECT ADDRESS <br /> DOf' r ��/ C�Rr�k�Iel� <br /> Owner � Mail Address City State/Zip Phone <br /> Ri T�A• �j-�2(` J�l � 1" • I G � ST. '}i" � b,SMh�k �VI-is�,�� <br /> ._r��_��s-3 <br /> -7�6uanL�yi f O i h-t� Mail Address City State/Zip Phone <br /> � i ew.e. � y,.� ELE�r2��- `f y I`I Gr�,�a ✓t�r_ . E� �i�._�t" w ,� vis-7vv- ivo <br /> Eleclrical ConUaclor Mait Address City State/Zip Phonr, <br /> (� EwFE�-9r9o�� <br /> Slate License Number Contract Price of Work <br /> ���Ii, �S <br /> Proposed Use of[3uildin� Conlact Person (Plan Review) <br /> �/ , � — <br /> Description of VVork lo�e Done: � �J.�.t ,ru- b�` � � � <br /> (�I�W� � �^ i��L�=(�A� � /�� L'rV"°n'�in'S!'�� , <br /> f— <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TQ FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> I <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> I � ���I - ! �'��-I <br /> � 1 hereby cati/y fl�af 1 have read anU examined(his applicafion and kno�v the sarne fo bo(rue and �,� <br /> I correcL All prov�sions ol la�vs and ordinances go��emm�this rype o/�rork will be completed � <br /> n�hefher speci0ed herein or nol. The granfin�of a pernut does nof �resume fo give aufhorily to <br /> i violafe er cancel fhe provisions ol any othe,-sfate or local la�v regu�afing construction or fhe <br /> perfonnance o/construction. Thaf 1 am aufhorized by the oivner ol Ih�s property fo peifumi Ihe <br /> �rork lor�vhich applicafion is rnade and 1 cornply�vith tl�e Sfate Cwifr<xtors Law 18.27 RCIN and <br /> 29G.200 11�AC. <br /> -- ' ``�`� � i-- D � // L / ZQl � <br /> .=�iurc � uate <br />