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ELECTRICAL PERMIT APPLICATIOlV <br /> CITY OF EVERETT ?ERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857 —w�wa.everettwa.org (� ` �7��' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � U 370 (�_G �S�' <br /> �(`)1.� �C7��'�, ��� � <br /> PROJECT ADDRESS <br /> �ob Qs��i � 2� 15 C��t�� (��� �vo�e� ,�7 q �a , 1 <br /> Owner A1ail Address City Slale/Zip Phone <br /> Tenai�' A1ailAddress City State/Zip t ✓ Phone <br /> �O <br /> �;�'�Ssl� E1�ckc-� ?0 , �7x �KO �`��p -� l�� �3`��a ��1 a-3� I <br /> Electrical COnlractor Mail Addre,s City Slate2ip Phone <br /> �,C�s= �� 63 6�ti <br /> State License Number ConUact Prico of Work <br /> S[�F`(�S�C.."� . <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description o(Work lo Bo Done: �E��� �'f-0F� L��C���- l'�t�l Gl �P�'�Nlc�, fY+�_ <br /> l�� �w� i'�Pf%,�� �(�f�M'�'�a 1�1o'r. AS � <br /> NOTE: WIRING IIJ NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> , <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily ihaf 1 have re&d nnd exarnined this applicafion and know the sarne fo bo We and <br /> correcL All provisons o!laws and orrlinances goverT�roc�fhis type o(�vork will be completed <br /> nhefher speafied herein or noL The granfing of a pennd does not presume to give authont}�fo <br /> violafe or cancel the provisions ol any olher s(ate or local laa�regulating construchon or the <br /> perfomiance ol construction. That 1 am authorized b}�Ihe ouner ollhis property fo peifonn(he <br /> worir tor which application is made and 1 comply wiG�fhe State Cenhacrors Lan� 18.27 RCl1�and <br /> 296.2U0 lh�AC. <br /> ����� � - ���/ 7 —'c`��' <br /> Signahre Uato <br /> E(�8f.�cr C�&S I <br />