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� <br /> 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,everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> 2 `l.2 � (�J.6-/t s v f.K�r � . <br /> PROJECT ApDRESS <br /> �ID �' K o S�� �U � w� 9�'2oS 2v�' �z6_6 �� <br /> Owner Mail Address <br /> City State/71p Phone <br /> ( � � <br /> Tenant Mail Address Ciry StateZp Phone <br /> � Tz �LEeT /�+� .G�l3.Sy,�s�lo_Qy� 7 <br /> //�� N � 9`� S � s v sTr u-:4 4'S�2o � <br /> Electncal Contractor Mad Aedress <br /> C 'I�2�I��City SlateZp Phone <br /> Lr-rze ��y � <br /> 5 ate License Number /�/�� <br /> C tract Price of Work <br /> �/�/�f 9 <br /> Proposed Use of Building — <br /> Contact Person (Plan Review) <br /> 2S� � <br /> Description of Work to Be Done: 0�fl L 2 0 �-....t,J� � cfo (r� �£.�f T— � ��"'�3 <br /> � Tl�2 £� �c��2 C c 0 .(J,LR w.([ c.L I.�-��S 7-b To 7-.p L <br /> / <br /> � Z d,A�.�-r� C � �e ✓ i . 7`v �°7��' y <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br /> BE IN R,4CEWAYS, MC OR AC CABLE. FEE <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certiJy that I have read and examined fhis application and know the same fo be true and <br /> correct. Al/provisions ollaws and ordinances goveming this type o/work wil/be comp/eted <br /> whether specified herein or not. The granting o/a permrt does notp iesume to give authority to <br /> violate or cancel ihe provisions ol any other state or/ocal law regulating conshuction or the <br /> P ork lo an�ch appl/ca o�n�'s�made�and 1 cormply with the State Cont a�ctosp�aw 18 27 RCW and <br /> 296.200�W C. <br /> / � . <br /> Signamre r� �� <br /> Date <br /> ���IIU-I� l <br />