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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 />'��-l'v L I_`� r`l ��'I C= ��71_ � I�� <br />PROJECT ADDRESS <br />�� „ — <br />. L �.I�, i�.l.� Z�J�` C�� �i%—�����<' �;L�1? ���?�L���—I GLiI�`eu�%%L'-1»i`('�7 <br />Owner Mail Addross Gry Slate2ip Phone <br />(�� � • <br />L Il � � <br />Tenant <br />C � �� (. � �-� ' t <br />Electricai Conlraclor <br />Slale License Number <br />C( /� ��� � l� i 1: " <br />Proposed Use of B�iilding <br />Mail Address <br />Afail Address <br />City <br />Cily <br />Stale/Zip <br />State'Zip <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />Phone <br />Phone <br />Descriplion of Work �o De Done: /�' �� �� I -� '�� � y! � � � r�l_ � V� C j ��_ ��� � � ��,. _` l.'� : L � ` ' <br />�1 � � � 7 <br />� 1 <br />�. .V �^ '_(i,.�\U ��k ��� 1 `u1���'� �11_t�- I:-�Cr1L \'.(_i�f"� ����,f �J�_ ��`/���i <br />-�. i � . � � �7 i,� — i' � <br />� � � <br />V_� �-��" �-'.3'�.� li.' �{��L�'�-,l'. l� i i1� 'I.;'1�� rc���(.��i�(.�}�1 Ile�� \'G_� IC,-'\ `.h1;.'���..' <br />`�—� �,.�, ,:i-.�_ C-,,. ,1,:..- ;':,_..,���, t�=- �'��-1E�:�—E.Y-; <br />NOTE: W IRING IN NON-D1�'ELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY Of EV[RETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily fhat 1 have read and exarnined fhis applic. <br />correcf. All provisiais ollaws and ordinances goveming <br />whefher speaGed hernin or not The granfing o/ a pernuf <br />violafe or cancellhe provisions o/an}� ofher state or loca� <br />peifomiance oI construction. Thaf 1 am aufhonzed by fhc <br />work lor which application is made and 1 comply with the <br />29G.200 WAC. , <br />/.� �� . 1 <br />—i � �- <br />Sipnature <br />and know ttie same to be frue and <br />ype of work will be completed <br />r no( �resume to give au!honty to <br />�egu/ating construcfion orthe <br />er ol fhis property fo pedomi fhe <br />Cai(ractors Law 18.27 RCW and <br />FEE <br />� n <br />/ � <br />/���' � l- <br />