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ELECTRfGAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.everetriva.org I <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � <br /> IZ"' � `o� <br /> i�-t, ;�:' 1<.��� ilr�l �tit t-�ric'l� �1�.?C? � <br /> PROJECT ADDRESS I <br /> `t,�S � <br /> ��zvl ,S�r_ <br /> ��l�,��<{ ��„ i I?���i1l� LefiVlaP<_) r�lli3a K�'J�'1M=1� /fVF I_YE?I'el`� b'V� �a�7 <br /> Owner � Mail Atldrass Ciry Stole/Zip Phone <br /> �'l��- <br /> Tenant Mail Address City State2ip Phone <br /> I <br /> p v��nev <br /> ElecUical Cenlraclor Afail Address Cily State/Zip Phone <br /> State License Number Contracl Price o(4Vork <br /> 1'PI i c�2�1'Y���v�- <br /> Preposed Use of Building Contacl Person (Plan Review) <br /> DescriptionofWorktoBeDone: ' - f�� �r���"�� i ��'Gt�ti"� 5 �Y�OI� ��(J T� S1'Vi �C'�i�^5 «'''� cl�����F�S� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS. �4C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br /> � 1 hereUy certily thaf I have n:ad and examined fhis application and know Ihe same to 6e Vue and <br /> correc4 All prowsions o/la�vs and oidlnances�oveming Ihis type oI�vurk�vill be completed <br /> whether specJied herein or noL The granfing ola permd does nof presume fo give authonty to <br /> violale or cancel the�rovisions olany o(her sfate or locallaw rec�ulafing const�ucfion or ihe <br /> perfonnance u/construcfion. Thaf!am aufhnrized by the owner o/fhis propeh}�lo perform the <br /> �vork(or n�hich application is made and 1 r,ompty with fhe Stafe Gonfractors La�v iD27 RCW and <br /> � 296.200 WAC. I <br /> i <br /> l��:ti,tic �'�� ''�� �-� �'7 <br /> t ., <br /> Si ialure Date <br /> F-�-1� Z -1G`� <br /> � � <br />