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C <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 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM �_� �� <br /> �!/o/�065 <br /> �514 G-tvand �4ve, , E�eve1+ <br /> PROJECT ADDRESS <br /> r�-�y �oa�d �r+-� 15��1 dMand sFve ��+ �ry. 9 saor <br /> Owne� Mail Address City State2ip Phone <br /> ��M� <br /> Tenanl Mail Address City Stala/Zip Phone <br /> k�CSt Sea-1}1t Nrrh►�al Encvgy ,u-�- ro4a I 3�{�+�}Vt SW $oa+}fE Wu 98J a b <br /> Eleclrical Conlrar,(or Mail Address City Stale/Zip Phone <br /> wtisrssNqo�Na �iq.aoo <br /> State License Number Contract Price of Work <br /> Qr11y B2auc�oin <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description o(Work to Do Cone: ���� �� aoAmp/ayo voN k�rea►�a.r Qov solar � LyC�CWI <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> 7J <br /> i CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ce�ii(y fhaf 1 ha��o read and exnmined fhis applic�tion and know Ihe same to 6e true pnd <br /> con�cL All provisions o(/a�vs and o�dinances govenung fhis type o/work will be complated <br /> whefher specificd herein or noL The granting oI a pormrt does nof presume to give aufhonty to <br /> violato o�cancel tho provisions o(any other st�3fe orlocellaw regulating consWcfion orfhe <br /> performance o!constn�ction. Thef 1 am aufhonzed by tho o�vner o!this property fo pedorm the <br /> work lor rvhich applicafion is made and 1 cornply�rifh fho Sfafe Contractors Law 18.27 RC W and <br /> 29G.200 WAC. <br /> _ , G l I Dl'"-5 <br /> 4-4-VI <br /> Si n ure Date <br />