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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 (� ,.�} �j -OC�' <br /> 425-25' 3810 - FAX425-257-8857 -www.everettwa.org �O�Q6 `�rlv <br /> _� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� 1` <br /> �'�'�,� � �-a f�� � i/c'. <br /> PROJECT ADDRESS <br /> Z � r-.c,l d-?(�a� ��J�� ,� �✓�rclt �„J��! .�1� <br /> Owner Mail Address Cily Stale/Zip Phone <br /> Tenanl A1ai1 Address City Slale/Zip Phone <br /> /-�)� l�- [[. � — -I-Y I�a� I U+'�'��� ti �� sca <br /> r-C_ I L. n n a w� i�l� G-1 it- �i��G .�o�3 <br /> EleClriCal ConUaclor Mall Address Ciry Slate2ip Phone <br /> �� ��- - ��--r �t , � � r� �L o 1 �1 , (1 C� <br /> State License Number Conlract P iT�e of Wort; <br /> Proposed Use of Building Contacl Person (Plan Review� <br /> Description o(lNork lo�o Donc: ��� , � n i� (� Q r���� f i� � ��� <br /> 4 <br />� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> C17Y OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have�ead nnd examined this applicntion and 6�no�v the same to be true and w`�� I�� <br /> con�ect All p(ovisions o/laws and orrlinances goveming this lype olu•ork�vill be completed <br /> �shether speafied herein or noL The�rantinc�of a pernul Aoes not'�resume to give aufhonty to <br /> �iolate or cancel the Provisions o/an}�other stafe or local law�egu eting construction or fhe <br /> performance oI conslrucfion. That 1 am authonzed by the o�rner o/fh�s property to pe�form the <br /> �vork lor wfiich applicafion is made and 1 compl}•with fhe Stafe Contracrors Lo�v 18,27 RCW and <br /> 296.200 Ll�AC. <br /> . <br /> ( � � � " � �c. <br /> . , � _� �c ,- > -� �� ; <br /> si�n�nuc , oa�e <br /> � <br />