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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICE� <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 /> �i5C01?�C.���i /�� i--t�-� j:��..�ltii��v' <br /> PROJECTADDRESS <br /> OYmef MailAddruss City Stato/Zip Phona <br /> /9'��'�l6ClJ /T-c/�i✓it.J�SL-t'IrYIF� �sQ��i^C,�r�(,Ck/'3t�l..r� ��/F C�/f� <br /> Tenant MailAddross City' Stato2ip Phono <br /> LCt� �/ulT7ilie�si'2�"i�����c�0i�'U l /ydif�/�'1///C.lE'F� G1/'`� 1�i�0 S'Z `�r�"�yc�— U/�'�4 <br /> Electri�l Contractor Mail Address City Stata2ip Phone <br /> LOGb' VL)V S' 7 f_����1' _ —�� ��V <br /> State license Numher Contrad Price of Work <br /> ��.�,.�i2�,��t C �'d���/ ,�lc�G G�,��1 <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> DescnptionoiWorktoBeDone: i.y.r;�.t,�r /�/// J� } T ! t iC S-�/'L�✓��.`�tt.r f-'�`r- .Y�iA�-1 <br /> ,�tft�ve= i rt ir���l ��/f,Xi�/S,EJ <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � CITY OF EVERETT LOCAL SALES TAl(CODE IS 9106 <br /> i <br /> I 1 hereby certily fhot 1 hove read end exemined fhis epplicefion end knaw fhe seme fo ue frue end <br /> conect All provisions o/lews end ortlinences govemmg this type o/work will be,rnmpleted <br /> whefher speci(ed herein or not. The grenfing o!e permd does not presume to grve eulhonty to <br /> violnfe or cencel the provisions of eny other sfete or bcel lew regulafing construcfion or the <br /> peAomiance o(consfrucfion. Thet 1 am euthonzed by the mvner oI fhis propedy to perform fhe <br /> work!or which epplicefion is mede end 1 compty wifh lhe Sfefe Confrectors Le�v 7827 RCW end <br /> 296200 WAC. <br /> // i�� ``---� %/— Z �—c:'f�- <br /> . �i naWm � Date <br /> '� � <br /> . � / � " � .__ "_. <br />