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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA98201 �/ `� 5-0� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org T <br /> C-o Bd�F-�d <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> .���.3 f-1�1r1� � '�1v� <br /> PROJECT ADDRESS <br /> .�� � ��� � � �i qz6 �I � ,�y q� s� �-►� ►� ���a,�,��8zqa <br /> Owne� Mail Address Ciry Stale/Zip Phone <br /> �-• / �z� �J <br /> ��KN��.e r ao/ � F'IF�v✓� iT �� �V�Ct��rt' 1n�i� ��Z d I 25Z—2!a `7' <br /> Tenant Mail Address City Slate/Zip Phonc <br /> �ZS-S 8 <br /> sEA,.� ur�z�,- �c..r��� v�y/S cH�•,ST-i+�ilY- �✓s'�,i. 4✓�4- �`i37 <br /> Eleclrical ConUactor Mail Address Cily State2ip Phone <br /> n'• <br /> -��-/�+-I � ►�ID`l �1 Q1� � 5�'O - <br /> State License Number Con�ract Price of Work <br /> �4� 1� G^7�� I L I� C��-�!'.4 , f�d oNtF��.(L -- <br /> Proposed Use ol Building Contacl Person (Plan Review) <br /> Description o(Work to Be Done: "�, �C-r`�/o V E �—`�� ST I�� L1 C�s h1''7�� � C�— --�– <br /> ��r 7�,.Fac.� « I-�Cl� ' KOY � D� �cr�J a � L o <br /> �i 1�5{��3oi�{S <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 /> 1 here6y ceriity fhaf 1 have read and ex�mined fhis applicafion mid know fhe same to be frue and <br /> conecL All prnvisions ollaws and ordinances govenunc�fh�s type o!work will be complefed <br /> whether speciGed herein or not The granfing of a penmt does not rosume to give authonty ro <br /> violafe or cancel fhe provisions oI any other sfate or local law reguPfing consfrucGon or the <br /> pe�lormance o/constnicfion. That 1 am autho�ized 6y the owner o/fhis property to per/orm fhe Q1� <br /> work Ior which applicafion is made and 1 comply wifh fhe Stafe Con(ractors Lnw 18.27 RCW and ��� � <br /> 29G.200 11'AC. � <br /> �� / �� i <br /> / � <br /> -^�' '�/c3e.eh-�-- `�7/ 5�0 <br /> Signalwe alc <br />