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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STFiEET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-25%-8857 — www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM --� ��� ` p� <br />�7 t`/ �- l l � r�l �� �� }.L �� d � (3 —l� <br />PROJECT ADDRESS <br />����iSC��i, iZ�c�l"'� <br />Ov+ner Maii Addrass City Slale/Zip Phone <br />J <br />Tenanl <br />N�� KY���-1 <br />Electrical Contraclor <br />�0 7�! S� �(�vl�Pss,ti j1� <br />hlail Address Cily <br />�i ti� ��� 6 j� �<�, P l s w <br />Mail Address Cily <br />MY�ti�N � iS'b QN <br />Stale License Number <br />Proposed Use of Building <br />Description of Work lo �e Done: (` <br />-�V L—UL� Y�? iH' ��//� 5'rf a� <br />Slate2ip <br />� ��A �9�7 <br />Stale/Zip <br />� ) � �� � <br />Conlracl rice of Work <br />Conlacl Person (Plan Review) <br />��(�7 �lljP,(l .l�'Tlev � � <br />NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO FE[ <br />d[ IN RACEWAYS, A4C OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />f liereby certi(}� lhaf 1 have read and examined fhis application and know Ihe sanw fo be t�ue and <br />correct. AH provisions o(lau�s and ordinances �overnmg ffus lype of work will be compleled <br />whether spec�6ed herein or noL The c�ranting o( a permit does not presume fo give authonty to <br />violate or cancel the provisin��s ol any other sfafe or local l�w regulafing construc6on or the <br />peifennance o/ construcGon. Th, t 1 arn aufhenzed by fhe o�vner o( this property fo perform the <br />wo�k lor �shich applicafion is rnade and 1 cernply with the Stafe Confractors Law 1827 RCW and <br />296.200 WAC. <br />'�--;���< <br />;, <br />Phone <br />Phone <br />