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1 <br /> ELECTRICAL PERMtT APRLICATION <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 /> 1 5/�� �/C���l ,�''`�L- <br /> PROJECT ADDRESS <br /> Owner Mail Addross Ciry State/Zip Phone <br /> �v��}�> IN�fv'P71ta�� <br /> Tenant Mail Address Cily Stale2ip Phone <br /> --�G� ��rci��c, N�i� is �� sr_ N1J s�is�����n W�- `h'�9� 3G0-ES,1-378 <br /> Electrical Conlraclor Mail Addiess City State2ip Phone <br /> Slale License Number C��ct Pr,ce�Nork���� <br /> ,E��Srrr�G- ���ir_� B�.S�N�S S <br /> Proposed Use of Buildin� Conlact Person (Plan Review) <br /> Description of VJork lo�e Donc: �f'"'YS�T�'�' ����NL �K. �� �g� f(J f�z <br /> �� �sC- F�t.���-Cs � �.r �/�h�.7 <br /> NOTE: WIRINr IN NON-DWELLINGS IS REQUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily that I have read and examined this applicafion and kne�v Ihe sarne to be frue and <br /> cormcL All provisions o(/aivs and ordinances govoming this(ype olwork�rill bo comp/eted <br /> .rhefher specified herein or noL The�ranting o/a perm�t does notp resume to�ivc authonty fo <br /> violafe or cancel the pmvisions o(any ofher stafo or local Inw re�u/ating consfruction or fho <br /> perfonnance oI constn�ction. Tliaf 1 am authonzed by the o�vner o/fhis property fo pedomi fhe <br /> �vork for which applicafrcn is mado and 1 comply�vi(h fhe Stafe Contrnclors La�v 18.27 RCW and <br /> 296.20 WAC. 0 n <br /> �� �� � /�JI� (`� a � p - 1 � <br /> ic7nature Date � <br /> 1 <br />