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ELECTRICAL PERMIT APPL�CATION <br /> CITY OF EVERETT PERNIIT SERViCES <br /> 3200 CEDAR STREET, EVERElT, WA 98201 � Z �3_,,.,% <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> c- � � z -��5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �7os ����s A�� /��se � w�,����,i��P <br /> PROJECT ADDRESS <br /> L-. �ROw�YZ / 7�5� �1}"��'!�(/� �l/���Tl (,��9- �'02�ZI <br /> Mail Address City Slalef ip F:ion: <br /> Tenant M11ail Address Ci�y Stale/Zip Phor n <br /> Sr2�- ( �-�J/�'Ifi��Ji�.L� J ����%a,Z� ,S'��"��� — <br /> Eleclrical Conlraclor 61ai1 Address Ciry State2ip Pho ie <br /> Slate Licens Number Conlrac Price of Work <br /> r�s� � .S'� ,p ��< G�-o�/-{�.� <br /> Proposed Use of Building _ Contact Person (Plan Review) <br /> -�.e -- __---- <br /> Description of n�kto-Be-Done--'-- � f ���� �� � ��y�b <br /> ((� --- - -�o�- - — _� — <br /> . <br /> �, � �E �C7 � • �r� .�,r-��t � <br /> � /r'1 h�7� � U�'- ���"'EZ . <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. I <br /> J <br /> CITI'OF EVERETT LOCAL SALES TAX CODE I5 3105 <br /> 1 hereby certily fhat I have read and examined fhis applicafion and kno�v fhe same te be fruc and C O 1 I 1 —C� `7 <br /> correcL All provisions of la�vs and ordinances goveming fhis type o/n�erk will be comp;efed <br /> whefher sper,ilied herein or noL The�ranfing o(a perrnd does nofp resume to give authonty to <br /> violafe or cancel fho I�rovisions o/any other sfate or local la�r regulating construction or the <br /> peifonnance o/construction. Thaf I am aufhonzed by fhe owner ol fhis property fo pedorm fhe <br /> work lor which applicafion is rnade and 1 comply n�ifh fhe Sfate Confractors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> , ��,��� i�� �� <br /> ic� aWrc Dale <br />