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C <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT 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 <br />b/l1� C� /��Q%/�7{' C//!"U� ��, ail'L*8C4� �'''1G�f'(� c<J�:/f !y'''.I � L/ � <br />PROJECT ADDRESS <br />��GC <br />Owner <br />Tenanl <br />Mail Addross <br />1.1ai1 Address <br />City <br />Cily <br />�/ z.s z3 z 8 <br />StalelZip Phone <br />Stale/Zip Phone <br />l✓'C�U.�% C��c fY�C ��c ..SC L' 7 li'/-s��'/�= is�a.s-«5�.,�/ LL�� S�� 7U <br />a <br />EleClricalContraClor A1ailAddress Ciry Stale2ip �/Z� gJC.Phone <br />S�/.Q $_ <br />CJfis'TTc-'� iYS/�� <br />State License Number <br />i <br />��S/��K�, {��, I <br />Proposed Use of Buildir.c� <br />j0 <br />Contract Prico of WorY, <br />ConlactPerson (Plan Review) <br />Description o( Work to De Donc: y��-( x� /7�tc-�: ��'U<�; i.-�� 5t: c�: � r� (�J i,�'P c>� <br />b4/( ��,^ c�« .'r�� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, A1C OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certil}� that 1 have r�ead and exemined this application and knoH� the same fo bo fruo and <br />correct All provisions o(laws and ordinances �ovemmg Ihis f}�po ol work wJll be complefed <br />whefher specified hereir or noL The granting ol n pemuf do�s nol I�resume to gi��e authonty fo <br />violafe orcancel fhe provisions ol any ofher stafe or localla�r regulating wnsWcfion or (ho <br />perfortnancn o/ construction. Thot 1 am au(honzod by the oivner of this property fo perlenn the <br />work lor which application is mede and 1 compty wifh the Sfate Conlracfors Law 18.27 RCVl�end <br />29G.200 WAC. <br />% <br />FEE <br />/ <br />.,�b <br />�_��� <br />