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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 /> � � � �� �111NL t"� c(� ��� �il.D(, f1 <br /> PROJECT ADDRESS <br /> �DIn��I.Pi�vne C��(:cG( �I�r ( I,.LC IglDl IZf� kV�l�l �nn � � � i�h� �/Ci" ] ) 1ULL?6N�Il <br /> Owner � Mail Address City Stale/Zip Phone <br /> Tenanl Mail Address City SWte/Zip Phone <br /> �� �,}��,� �� �ri�1r(, �IOIS Srz rt l.G� ��l-<<x�.s �'H 9 ��St� L1zs 33s 7bcn <br /> Electrical ConUactor �7ail Address City State2ip Phone <br /> i'o' <br /> ��ry'ILNi��I �� 'i2MG S)v0- <br /> Stale License Number Contrar,t Price oi Work <br /> r � <br /> ��" �� <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Descriplion of Work to Be Dono: ��.+� I S E f"V<<C. ��n�l J L YY S/'j: <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> 6E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> 1 hernby ceRily that I have read and examined this applir_a(ion and know the same to be Irue and <br /> correct. All provisions ol laws and ordinances yoverning th�s f}�pe of�sork will be cornp/efed <br /> whefher speciGed hrrein or noL The granfing ol a permd does nof presume to give aufhority to <br /> violafe or cancel Ure provisions oI any oflier state or local law regulating consfruc6on or fhe <br /> pe�formance oI construcfioa Thaf 1 am authorized by the owner ol flus propeRy fo periorm the <br /> work lor which applicalio s made and I comp/y wiih the Sfate Confracfors Law 18.27 RCW and <br /> 296.200 WAC. �/ - <br /> �� ; ��/ C, � 7-7�(j°� �'�'� / `, _. <br /> —L�__�_��'-''t�� " <br /> S�.,� o Uate � <br />