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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 /> "L\ O� CT��wo `�'�� `� <br /> PROJECT ADDRESS <br /> �.�,,,. �,.,.��,�.\ -��a z �-�a,,�r,. C.�e.�Z-�� w� �$-Lo� <br /> Owner Mail Address City Slate2ip Phone <br /> Tenanl Mail Address City Stale2ip Phone <br /> CsF S\l-t>�-"Tow \�.-\L 23�3� �,..tY��w,��- '(�\LKL�. �-0�.-,b�.,ol 4,�a� <br /> Electricat Conlraclor Mail Address City StateJZip Phone <br /> �.O�o'Q\Ct •�utq� <br /> Slale License Number Conlract Prico of Work <br /> Proposed Use o(Buildinc� Conlacl Person (Plan Review) <br /> � <br /> y''� r '1� � ��WL��. <br /> Description o(Wark lo Be Done: ��OO�L V� Z'i_,�v,'P �0�{�n \'6 � '� �-� <br /> ��ti <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 hereby certily fhat I have read and exemined Ihis application and kno�t�fhe same to be true and <br /> correcL All provisions ollaws and ordinances goveming this type o/work�vill be completed <br /> whether speafied herein or noL The granting o/a pemid does not presume to give authonty fo � <br /> violafe or cancel fhe provisions ol any ofher stafe or local law regulating construchon or fhe <br /> perlormance o/construclion. Thaf I am authonzed by fhe o�rner o/this property fo pedomi}he � <br /> work!or which applicafion is mado and 1 comply with the Sfafe Confracfors Law 18.27 RCW and <br /> 296.200 WAC. �i <br /> � 5 � o� �// O�O <br /> Si ature Oate �/ i <br /> �J <br />