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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 />,� 13 t l�bcr f�.,,...�- <br />PROJECT ADDRESS <br />�a ��'.�..��..ti14a l�+ J-�t �. 5-7 3 c td�r hmT L r E-`�ac�'1- w-+� 4gam3 <br />Owne� MailAddress City StatelZip �,(� 3S� � <br />Tenant <br />Mall Address <br />Cily <br />StatelZip <br />Phone <br />`�S .a-��v���� �r��2'..� 5-Oo C�-sl rl�Q,...s� w�o�-oe LuA- Y83�a <br />ElectricalContractor MailAddress City StatelZip ��b.�VH�"73� <br />(rs N 9- l,s 930� k <br />State License Number <br />Proposed Use of Building <br />b 1 �`a-pO <br />CoMract Price of Work <br />Contact Pereon (Plan Review) <br />Description of Work to Be Done: i–� �� � v� i� v� � �'"�-�'��-e-+K�� � �� n0 <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br />BE IN RACEWAYS, MC OR AC CABLE. t-7�1� <br />J l/ <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 9706 <br />1 hereby ceRi/y fhat 1 have read and examined fhis application and know the same to be true end `��� O�C�i <br />correct. All provisions ollaws and ordinances goveming Ihis type ol work will be complefed i– O— Q <br />whefher speafied herein or not. The granting o/ a permit does not pres�me to give au�hority fo L <br />violate or cancel the provisions o/ any other state or local law regulafing construction or the <br />perlormance of conslruction. Thaf 1 am authonzed by the owner o/ this property to pedorm fhe <br />work lor which application is made and 1 comply with the Sfate Contractors Law 18.27 RCW and <br />296.200 WAC. <br />c.a,�. �=-, l � -�r <br />0 <br />