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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 /> I1 S /�� 09 K E5 :1V � <br /> PROJECT ADDRES:> <br /> �nr�Y/��in T� �¢ � 1 $ lU � ql-CS `1Jc Yv£�FtT in/ 0 9 �—'01 �'� zS� 252.0'4� <br /> Owner A1ail Address Ciry State/Zip Phone <br /> S!i��e <br /> Tenanl Mail Address City Statc/Zip Phone <br /> ✓0/ t Ir /'lyfi' /{ <br /> Electrical Contraclor �1ail Address Ciry Slale/Zip Phone <br /> /l �.t <br /> Slale License Number Contracl Price o(Work <br /> Proposed Use o(Buildinc� Contacl Person (Plan Review) <br /> DescriplionofWorktoBoDone: cl�nn6q¢ c•�f �%ns[o C �tGtrrin / vpnQ � iv%r,( nFN ��r�e� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TN(CODE IS 3105 <br /> 1 hereby certi(y fhat 1 have read and examined fhis npplication ond know fhe same to 6e Wo and <br /> correct. A/l provisions ollaws and ordinances goveminc�this type of�vork nill be complefed <br /> �vhether speci6ed herein or noL The c�ranfing o(a pernuf does not presume to give aufhonty fo <br /> violate or r,ancellhe p�ovisions o�any olher sfafe or local la�v regularing construction or fhe <br /> perfonnance ol construcfion. That 1 am authonzed by the owner o(Uus property to pedonn fhe <br /> �vork lor�vhich application is rnade and 1 cornpty with the State Confracfors Law I8.27 RCW and <br /> 296200 IHAC. <br /> !� /� ,^'— <br /> /'��' )— ZZ,i07� <br /> � �-�:-r� 1��t-� ��o'�t <br /> . Signature � Dale <br /> �c��l ' ��� <br />