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� <br />� <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-0857 - wvnv.everethva.org <br />APPLICATI�JNS ARE ACCEPTED FROM 8 AM TO 4 PM -� � a d_0 � <br />1��,� <br />��la rn'rsv,� %r�un i�a; n G� eu � P/� z�� <br />PROJECTADDRESS <br />Ovmer <br />Mail Atldress <br />� <br />city <br />StatelZip Phone <br />��C�I< T�me i L 7�llS ��q�%sov, Gile�� N� 9b�v3 <br />Tenant MailAddress Cily Slate/Zip Phone <br />Coniraetor ldail Atldress <br />��AR�I ��L 99r�6U <br />Slaie License Number <br />Proposed Use of Building <br />Ciry Stale2ip <br />� /S�ti. av <br />Contract Price of Work <br />Phone <br />��rr� L. �,x�u ��as) di? �i�� <br />Conlact Person (Plan Review) <br />i' � I / <br />Description of Work lo Be Done: �/ �i �i, i'� %� C�/1 ��'(Mf �(w' i� ����/ /I�✓'h ��/i9{�PS In �CG <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 />I hereby certily thal l havs road and examined Ihis applicalion and know tho same to be Vue and <br />wnecL All provisions ol la�vs and ordinances gove� �:mg fhis type o/ wo�k will be compleled <br />wh�fher specilied herein or noL The granting o( s pemat does not resumo fo give authority to <br />violafe or cancel fho provisions ol any ofher state or local law �eguPting consfn�ction or fhe <br />pedomranco o/ construcfion. Thaf 1 am authonzed by fhe o�vner oI this property fo pedomi the <br />work lor which application is made and 1 comply with fhe Stafe Contracfors La�v 78.27 RCW antl <br />296.200 WAC. <br />7/�v/v � <br />FEE <br />.���a. <br />�����- I a / <br />