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� i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org /O V ���� <br /> APPLICATIONS ARE ACCEPTED FROM e AM TO 4 PM C— O�0 I O'I <br /> 17Z� r�E�4'i7r" �V.c.. <br /> PROJECT ADDRESS <br /> OWner MailAddresa Ciry sa�2ro F'haie <br /> C�ruTT�tt- �.I�- 172( /�i�,t�i 7T l�k. �(�o�rett" c.� ZS3-87Z•s�r <br /> Tenant Mail Address Ciy Shte2lp Ptw�� <br /> �F�t� E�r��ru� llsw�rE�r�� Sl=� F[�iL�ff/r �T� /w3'/ �Zf�l��� <br /> ElectriCal Contractor Mail Address Ctty ShMZp P�^e <br /> JOI��(S�f 3�YR�t � 7,a�•'�� <br /> Stete License Number Contract Price of Work <br /> D���� SCFF tTO1EA�Sd�1 YLS'�I'6ZL� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description ot Workto Be Done: �Is��-�'1 l�J �-""� � �r� `^�'^'� • ' <br /> � Co�r (�) �t� �F� r�i�c. cuc�rs. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITY OF EVERETf LOCAL SALES TAX CODE IS 310b <br /> io�dy Allrt�visions oilews and oNinen�ces govemn9 this�type ol woik will be.can�ed end <br /> whefher spec�(�ed herem o!not. The granting o�e permd dces not presume to grve authonty to <br /> violete or cencel fheprohswns o(eny ofher stete or locel lew regu(e6ng consfmdion or fhe ^ <br /> partormance ol construcfion. Thaf 1 am euthonzed by the owner o/this property to perlorm fhe ��' I <br /> work lor which epplication is mnde and 1 comply w�th the Stete Contractors Lew 1B.27 RC W and <br /> 296.200 WAC. <br /> / I <br /> Ignature � �Z�/ � I�y 1� <br /> V <br />