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_ f <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857—wuvw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 2ios- mv�¢c.��= Ave �v�`rL�rr �r� q8zvl <br /> PROJECTADDRESS <br /> Sr�•E� �a�c,�1� Z�vsrv,o��K.v� a�:� �v�-rL�rr L�.� ���1 �tzs-34G-�3v <br /> Owner Mall Address City State2ip Phone <br /> Tenant Mail Address City Sfate2lp Phone <br /> A��1C�L1� kZC:Zi12c A�G� WIE�-�� (1U(iL�6fS� L=L(�i(.(.`if C�.� 9f'+2G6 �FZi'S�3-�i4� <br /> ElectricalContractor MallAddress Clty Slate2lp Phone <br /> A�nP�r�i,�,n �rr.�cy �7.s°� - <br /> Slale license Number Contract Price of Work <br /> (� �-h'N s i i pL cN � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work to Be Done: >d�LiT j�JC TLl:SS y��1� �t���1� S u,"l'W L�a-�G-�! _ <br /> A .,lJ 5<...��PeYLS Fe�? I! =x�i a�w.� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR.AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 here6y certi/y thaf 1 havo read and exam7ned thls application and know the same to 6e true and �"� � �� ^ �� 2 <br /> correct. All provisions of faws and ordinances goveming this fype o(work will be compieted <br /> whefher specified herein or not. The granting of a permif does not presume to glve authority to <br /> violafe or cancel fhe provisions oI any ofher state or local law regulating construction or the <br /> perfortnance of construction. That 1 am authorized by the owner of th7s property to peAorm the <br /> work/or whlch application!s made and 1 compty wlth the Slate Confrac(ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> =� G� �� Il <br /> ign ure Date <br />