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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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Idi�L ' ��GC� �I / �"'�V'o� <br /> PROJECT ADDRESS (ll ,"'— z.��— 2{�o� <br /> l � <br /> , �, �' z Z � 3 e%� F�-if L�l-2 ���-�"�w'� �'�z� � <br /> � Mail Address Cily Slate2ip Phone <br /> �n i r .!- lil C ��.5� �'�W���' G(iu���f'/ u�� �0�� <br /> Tenanl Mail Address City Slale2ip Phone <br /> �v�u� � /�"/� /�e�,'� �� � � ����l ��3���zY <br /> —, <br /> ledrical Conlraclor �dall Addross Ciry Slate/Zip one <br /> -��� V <br /> Slate license Number Contracl Price o(Work <br /> /'T/���H; -l'bu�-'�/L�vC�7��r . � Le�6'It.�C.L-D`� . <br /> Proposed Use ol8uildinc� Conlact Person (Plan Review) <br /> Zc(� 3 Yl� Z Z�1 <br /> Description of Work lo Do Done: G'�� a ��/� �1� �"e T✓E%�L"^ " � ' <br /> V' ����cvY- i'r'S�S� /` K '�v.+v�- �oGrG�u�'�' � P�'�aS <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I bereby certi/y fhat 1 ha��e read and ext�mined Ihis applicalion and kno�v fho same to be truo end <br /> correct. All provisfons olla�vs end ordinances goveming fh!s fype ol work will be complefed <br /> whefher speafieAhe�ein or nol. Thc�ranting oI a perrnd does rwf presume lo give aulhonry fo <br /> �-iolafo or cuncel fhe provisions o/an}�other stafe or locpl law regu/ating construction or the <br /> pedomiance of censlruction. That I mm�ufho�ized by fhe owner o/fhis property fo pedomi fhe <br /> work/or�rAich app�ication is madD and 1 comply wifh the Sfate Contractors Lew 18.27 RCW and <br /> 296.2001NAC. / <br /> ��,., l (� ' � oI ��� _ c�� <br /> ignaWm " Uate � <br /> �� /wt, fl n l� �f f�/11��L. �,LL �1/I�Lf C L� ti- <br /> l� /•_� d � <br />