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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />�15-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />, <br />� � i✓ <br />I��.`� �1/ /'���SUi7 ��� ,� • � Z�' �- � <br />PROJECTADDRESS <br />2 �O��OS <br />%�/o �� <br />r ,� �( a scn �. /�n� ,�k,.1 x ,��,- h �� «� �s3�u5r.�/ ,�uq 5',"r�� � <br />Owner A1ail Address Cily �� Slate2ip Phone <br />✓ i�/ 1/i.a f G!^i/� ��Q/ )�//l% ' ���� i- ��G�/1fS�i'1 L U G�C I� �ai/T' ����l� 7 <br />Tenanl MailAddress Ciry Slate2ip Phone <br />Electncal <br />�� t'�v�Fl 99vhu <br />Stale License Number <br />'%), ��P�> �s e <br />Proposed Use of Building <br />Description of Work to Be Done: <br />Mail Address <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE iN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />City <br />Slale/Zip Phone <br />��S �'� • cr� <br />Conlract Pnce of Work <br />���iv / �����s �var 1 tiy'� ��i6 <br />Contad Person (Plan Review) <br />1 he�eby certily lhat 1 have read and examined this applic2fion and Anow the same fo be frue and <br />correct. All provisions o/laws and ordinancos govemrng fhis typo o! work will be completetl <br />whether speci(ied hemin or noL The gran!ing o/ a pemuf does nof p�esume (o give authonty fo <br />violate or cancel tho provisions of any ofher sfate or local la�v regulafir.g constniction or th3 <br />peAormance ol construcfwn. That 1 am a�dhonzed by fhe owner o/ Ihis property fo pedorm fhe <br />�vork for �vhi�h applicafion is made and 1 comply wifh the Stafe Contractors La�v 18.27 RCW and <br />296200 WAC. <br />� V� , /� } .-J. <br />FEE <br />� / 0 / � <br />Klr(yl1 - �i3,5c <br />�3�dy [3 - ;� 3. So <br />