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r <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES � _�� ��� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org �l/���a3� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �l - � /J'lcG�/� st ' � <br /> PROJECT ADDRESS �� <br /> Zr��UO/�r/ ���-{ (� (� I`�� <br /> Owner Mail Address Cily Stale/Zip Phone <br /> Tenant Mail Addrass City State/Zip Phone <br /> �6�'- ���� >3C�o>- 7Cb�s�� .S� ��ish l�r �� Y� Y�-/3/ <br /> Electrical Conlraclor Mail Address Cily State/Zip Phone <br /> ,¢c;���'�e�7'y.2�5'�7 �" Z�=C�D �°� <br /> Sialo Licenso Number Conlract Prico of Work <br /> 1��f/<fC'/7✓/fifL ' �/(� - <br /> Proposed Uso o(Building Contacl Person (Plan Review) <br /> Descnption of Work lo Oo Dono: ��'S'�7��- ��I�c•fi'r ca.� C�(Gc�(� �7!'!"'( <br /> '?��c fJ»�/� �/�lC� C��J�vY�cl G'y '7S1� <br /> , , — <br /> NOTE: W IRING IN NON-DWELLINGS IS REQUIREJ TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify Ihaf 1 have rend and exnmined fhis applica(inn and know fhe same to Ue truo and <br /> cor�ece All pravislons ollaws and oiriinances�ovenung;his f}�po ol work tvifl be completed <br /> �rhefher specified herein or noL The granting ol a penmf does no(presumo fo gi��e authonty to <br /> ��iolafe or cancel the provisions of nny other sfafe or local la�v re[�u/aPng consfrucfion or fhe <br /> performance o/construction. Thal l am euf0o�ized by the o�vner oRl is�roperty fo pe�fo�m fhu <br /> u�ork lor which application is mado and 1 compl}��aifh the Sfate Contr�actors Law 18.27 RCL'✓and <br /> 29G.200 WAC. � <br /> �� <br /> �y, ,,C �. ,1/.. �� ��� �- �� � <br /> Sipna ure Date <br />