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ELECTRICAL �ERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �� —oiD `r%% <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />L�06/0—��� <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� .� � <br />7�;'i ,=���"7iI,, ,r.� _ f;'/ <br />:. <br />PROJECT ADDRESS <br />/', ���� %, °%C'� i' ?i ? `% �'�7� � ) �i'c' Jc� S,L G�'C.ji"[�fI/F � � ✓/Y . `t5�� 6 � <br />Owner Mail Address Ciry Staler_ip <br />�(L "<_.r f''�'J C;[ �l�l�� c.: - �`/is i-f+i�io'is ;v ,G� . '-`-.� c�7..,�."�iT� �,,:q <br />Tenanl <br />Mail Address <br />City <br />SlateiZip <br />Phone <br />Phone <br />hl�L c:CCYx �f<'> <br />�i/'i�/% ,/�i�- SC"�b�/�G'.5- �/t•:�%.^. .�':;/,yt. .�'�:L['ii �� �/i'3% CL%i�. c����� , :OS:'4� <br />Eiectrical Conlraclor Mail Address City State/Zip Phone <br />�'n:, , <br />j�;;{<�,: �� >G, <br />State License tJumber <br />s f J. ."- <br />Contracl Price o( Work <br />,t��zr.� `,��v�' c; ��.: ��-�« �� <br />Proposed Us^ o( Ouilding Contact Person (Plan Review) <br />Description of Work to Be Done: i�'�� ���: � .- c%i, �y,�.� �._y �.c-7 ��- �z- i'?'=�''��t"J <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIREO TO <br />BF IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CO�E IS 3105 <br />FEE <br />I he�eGy ce�tily fhaf I have road and examined fhis applicaliai and know fhe same to be Vue and <br />conect All pravisians o�laws and ordinances c�overmng fhis type ol werk will be completed <br />whether speci6ed he:ein or noL The granling ola pernut does not presume fo give authonty fo <br />violale or cancel lhe provisions oI any ofher state or local law regulating consVucfion or the <br />performance o/ consfrucfion. That 1 am aufhorized by fhe oa�ner oI fhis property to perfomi the <br />�rork Ior which applicafion is made and I cornply wifh fhe S(ate Confracfors La�v 78.27 RCW and <br />296.200 W.4C. <br />�-UC��fU-I�1 <br />