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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 /> /l� 3'� �I�I�S �V=L <br /> PROJECT ADDRESS <br /> h i�lJ I3�A T1 l� G�v.;H �,�' y�s 3i�1 - 3�(oG <br /> Owner A1ail Address Ciry Stale2ip Phone <br /> Tenant M17ail Address City Slate/Zip Phone <br /> /1.(�C��N?y L'v'(-I !�i� ep 1N� <br /> ElCctrical COntrac or Mail Address City Stale/Zip Phone <br /> ��'��.L;t.�C�.,GJC� � � � <br /> tate License Number Contract Price of Work <br /> E�(SIS � IN�� ,S �R <br /> Proposed Use of Buildin� Contacl Person (Plan Revicw) <br /> DescriplionolWorktoOeDone: /IJS�ALL '�' - /��Z�-' w�t-i.. i�1E/��tl' S IeEw//(.E' .EXSiJ%iHb <br /> i3r".DRuG��� f�£(.�f'7NCLx.�. /11�i� r.n.�r.�•� PurUf sW�iCli�6NT a /,�p �i��P% - <br /> �:/'��( ���� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, �4C OR AC CABLE. <br /> CITY OF EVE��ETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cmiily fhaf 1 hare read and exnmined this npplica(ion and know the same fo be frue and <br /> conecL All provisions olla�vs and ordinances govenunl this type of work will be complefed <br /> whether speci6ed nerein or noL The�ronfing ol a permd does not presume fo give aufhonty to <br /> violafe or cancel the r�rovisions ol any ofhrr stafe on c�al la�v regulefing construc6on or fho <br /> peifamance o/constn�cfion. That I am aufho�ized 6y tin�onner o(this property ro perfonn the j C�`1 I I - �71 <br /> u�ork lor which applicafion is m�de and 1 coripl}-wifh fhe Sfate Contractors Lan� 18.27 RCW and <br /> 296.200 WAC. ' <br /> ��( L� /!- !0 - O�� <br /> Slg alui� __ � Dato <br />