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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.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />�-i q �� � � ��,�N �v�. <br />PROJEC7 ADDRESS <br />�, % �"i�L ,"^11l/�.�-� <br />OWner A7ail Address City Slale/Zip Phone <br />Tenant <br />Mail Address <br />��. ,C-'�[. i r'�� C <br />A7ail Address <br />/�(L(>/l�1` � 00 �� � <br />State License Number <br />Proposed Use of Buildin� <br />N C, <br />City <br />City <br />State2ip <br />� s�s .sr�a�2,— s. L <br />Phone <br />�� v��u� <br />Sta�clZip Phone y <br />t:� :' .-� � .) ' . yV <br />Conlrer.t Price ol Work <br />Conlacl Person (Plan Review) <br />-� 11 ,��, / ` / <br />Description of Work to Be Done: ��' l ��XM� ��� 1' L.i )� � GWh% ���/LV (( Q <br />NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN R4CEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 31t'5 <br />1 herr,by certdy fhat I ha� r. read and examined this application and know fhe same fo 6e true ano <br />correc7. All provision; olla�vs and orAinances govenung this t}�pe o! work wil/ be complefed <br />�rhefher speulied herein or noL The granfing o( a permrt does not presume to gii�e authority fo <br />violate or cancel the provisions ol any ofher stafe or local law regulsfing wnstrucfion or ihe <br />perfonnance o� cons6uction. That I am aufhorized by fhe owner ol fhis properi}� t�� pe�lonn the <br />work lor which application is made and I comply wifh fhe Slate Confractors Law 1+).27 ftCIN and <br />29G200 WAC. <br />1 <br />FEE1 <br />�� �� .���J <br />