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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 � 1 l. I�� <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org ' <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� f- �o� 6'r�„� r1., e <br />PROJECT ADDRESS <br />��,,.�-e� {-loc�s}e�)Ic� 900� 6n:.� A.e ��e��t�- �,Jl� °�Sz��l zo6•71i•6�I�ly <br />Owner Mail Address City Slale2ip Phone <br />Tenanl <br />Mail Address <br />Cily <br />Slale/Zip <br />Phone <br />��erKl� Elec►��t s.,� ►�(7,�� SE 63"'Piw-c t3ei�e��e wA 9ccv6 yzs�aYv-sozc <br />FleclriCal ConUaCtof Mail Address City Slale2ip Phone <br />-�-oo,�,- � M E(� A E� `� 13 (� a <br />Slale Liconse Number <br />Proposed Use of Building <br />5 00°= <br />Contract Price o( Work <br />Conlact Person (Plan Review) <br />DescriplionofWorkloBeDone: ,�.�5"�k�� O� �e.,� C�vc...Y a0 1`�wp �-orr'�e� i-�eu'F 1"��*p <br />—t— —�— <br />NOTC: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACENlAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE �S 3105 <br />I hereby certily thaf 1 have reaA and exnrnined fhis applicufion and know fhe same fo be (rue and <br />correct. All p�uvisions o! Inws and ordinancas gov�ming fhis t}�pe o! H�ork will be complefed <br />�rhether spealied herein or noL The yranting ol a pernuf does not presume fo give autbonty to <br />violete or cancel the provisions of an}� ofher sfafe or local law regulnfing consfruction or the <br />peAormance ol constniction. That 1 am authonzed by tho o�rner o/ Ihis property fo pedom� fhe <br />�vork lor which applicafion is mnde and 1 compty with fhe Stafe Confractors Law 18.27 RCW and <br />29G.200 WAC. <br />FEE <br />�Io03-0'� <br />