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ELECTRICAL PERMIT APPI_ICATION <br />CITY OF EVERETT PERMIY 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 �� __. �} .-0�p <br />/ �/.i �/7 /� �G 7 C'LI'---�\ I� ��� .%�r� <br />PP.OJECT ADDRESS <br />!T Ki n� ya,! �lN <br />Owner Mail Address City SlatelZip Phone <br />Tenanl <br />Mail Address <br />City <br />State/Zip <br />Phone <br />L/� tL��7kIC �5�3�-� �i1�7 .4v� /w F�b�k�4�. �ui� 94�13 <br />Eleclricai CoNraclor M11ail Address City S1ale2�p Phone <br />CPC-�EI'L-q�3k� <br />Slate License Number <br />Q��� �L <br />Proposed Use of Buildin� <br />� �'GGY�, vv <br />Contract Price of Work <br />Contact Persen (Plan Review) <br />Description of Work to Be Donc: %7C0 �� /�CO�/ -�T L�� J,LI/Z-// OU2 /E''f <br />NOT[: 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 Ihaf 1 have read and ez�arnined this applicafiyn and kno�v fhe same to be true and <br />conecL All provisians ollaws and ordinances c�oventing this fype ol �vork trill be complefed <br />whnfher specilied herein or not The granting o� a pernut does nof resume fo gi��e authoiity to <br />violafe or cancel fhe In�ovisions o(any other state orlocal law reguPtint� consWcfion or fhe <br />perfom�ance ol construction. That I arn aidhorized by fhe ou�ner oRhis propeity fo pedorm the <br />�rnrk lor which application is rnade and I comply �rith the Sfafe Conti.3ctors Law 78.27 RCW and <br />29G.200 WAC. <br />/Ji <br />�� C�,1, �6. <br />FEE <br />� � ��o�-� <br />