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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMlT S��VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> II � 2(a �AwE ri�,D wrtY D <br /> PROJECT ADDRESS <br /> l e ���Sfer� l0-�Qa �3 N S LCC !� ��l �t�" Nc� w �.y���e�d c✓A �Ao3> Zob 2z6 y� <br /> Owner ldail Address City Stale/Zip Phone <br /> Tenant Mail Address City Slale2lp Phono <br /> ��c,��,r.(,� �t�afr;� '�0/. S'292 �/a� Skv�S ti/�9 90� yZS33s �6oa <br /> Electrical Conlraclor Mail Atldress City State/Zip Phone <br /> 1r a <br /> vGt�1'weL9�QvhCr S7oO. v <br /> Slate License Number Conlracl Prico ot Work <br /> SF� - <br /> Proposed Use ot Building Conlacl Person (Plan Review) <br /> Descriplion e(Work to De Done: ��OQ �j/ ��' N� SF�Z �90 �' �« _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EV[RE'IT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhal I have read and examined ffiis application and know the same!o be fruo and <br /> correcL All provisrons o/laws and ordinances�overnmg this tyae ol work will Ge comoleted <br /> whether speci(ied herein or noL Tho granfing o!a pemut does nof presume fo give authority to <br /> violafe or cancel the provisions o(any other stafe or local!aw regu/ating consfruction or the <br /> peAo�mance o(construction. Thnt I am authonzed by fhe owner o/tbrs propeRy to pedorm the <br /> work(or which applicafior�s made and 1 comply wifh fhe Sfafe Contractors Law 18.27 RCW and <br /> 296.200 WAC. � <br /> ' 7- 9-08 <br /> � � <br /> Si�naWr��" Date <br /> Fc�gc�� c3E <br />