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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 9820i <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />2.3 � H�Gll�qni� i�- GV��ef� W/t y�.,��J� <br />PROJECT ADDR S <br />� <br />< 6, <br />Owner <br />Tenant <br />� �' ' - ;�b v�, <br />ElecMcal Conlreclor <br />State License Nurtiber <br />Proposed Us� o( Building <br />�Aa�Add � s <br />Mall Address <br />Mail Address <br />�cG,�r,�,d �,yr° EVe��T7' W.q /� <br />T- ary Staterzp <br />City State/7Jp <br />Ciry <br />Sqte2ip <br />�I -z8-o6 <br />�'061�`��y <br />Contract Price of Work <br />Contact Person (Plan Review) <br />is, -,^ <br />Pharo <br />Phare <br />Description of Work to Be Done: %i r' �4c �' /C �lE ( ¢ 4�7 Q f G�i c� � lP�p �, c�/%e �e � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, h1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby certily that I have read and examined this application end know fhe same fo be frue and <br />correct. All provisions ol laws and ordinances goveming thfs type o/ work will be completed <br />whefher speci�ed hen.in or nof. The granting o( a pertmt does not presume to give aufhority fo <br />violafe or cancel the provisions o/any other stete or local law regulating conshuction or the <br />peAormance ol construcfion. That 1 am authoriza�i by the owner o/fhfs property to peAorm the <br />work lor which application is made and 1 comply wrth the Sfate Confrecfors Lew 18.27 RCW and <br />296.200 WAC. <br />�G <br />Eo6 �1-��I�I <br />