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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 />��5 /� C��y,»r�c I�Kiv� <br />PROJECT ADDRESS � � <br />� ICi�I ��� <br />Owner <br />Tenanl <br />urle/zRcz �si� o�y,�r <br />Mail Address � City <br />Mail Address Cily <br />1 L ,TNC <br />�N-WooOWA� <br />Gectrical Coniraclor Mad Address Cily <br />`��`'� <br />W/��klEz `�l�o�.% I,�IZ <br />State License Number <br />of 6uiidinc� <br />-iZ T(- <br />Stale/Zip <br />Stale/Zip <br />U� un/)rZG/"S l� <br />State2ip <br />$ �'-13v,00 <br />Conlract Price oi Work <br />LS 26 -92�G <br />Phone <br />Phone <br />�/25 258-�is`1 <br />Conlacl Person (Plan Review) <br />Descriplion ol Work to �e Done: L(///z!R-7 � C. o i.J✓`� tZT"] O„c/ 'j�p O U� /j(//L S� //.% �j <br />��.Is-r,a�� LrG��rrN� I=iX;�irZc'� <br />NOTE: WIRING IN NON-DVVELLINGS IS R�QUIRED TO <br />BE IN RACEWAYS, MC OR AC CABI.E. <br />CITY OF EVERETT LOCAL SALES TN( CODE IS 3105 <br />1 h�reby certi(}� fhaf 1 l�ave read and examined this applica(ion nnd know fhe same fo be tnie and <br />con�ect. All provisions ollaws and ordinances goveming this type ol work will be comple(ed <br />whefher spealicd herein or noL The granfing ol a permd does nof prosume to give aufhonty to <br />viola(e or cancel (he provisions oI any other s(afe or local law regulafing construcfion or fhe <br />peAonnancc o/ constnrefion. That f am authonzed by the owner o/ fh�s property to peAorm the <br />work !or which applicafion is made and 1 comply with fhe Sfafe Conhactors Law 18.27 RCW and <br />29620014�AC. ) � <br />f %� : � �� <br />� �%�/ � /�Y'lC%(%tL: '% " 2.1 �— 0 � <br />FEE <br />Phone <br />