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w <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E`✓ERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —w.vw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � -� � �i ✓►'I � N Rc�e- A I/F, <br /> PROJECT ADDRESS <br /> �ftTN�i I'�'I�c�r,��-�-'n� ,� �- ly �1�r}��,�Nc�b Cr,f:Rr_� �,�A q8d03 _ <br /> Owne� Mail Address City StalelZip Phone <br /> 5� <br /> Tenanl Mail Address Ciry Slate/Zip Phone <br /> S�Eia R [�r�,er� ,�c��rv �a'�A� LIJrz>c sPaR��a ST,4NwooG W� �('.? i'� 3G �'-(��9-c�Sc� <br /> Eleclrical Con�raclor Mail Address City Slale/Zip Phone <br /> S l�. �l C �/ �• `� S I 1 l.- _ A PP�oX �,�D��. "n <br /> State License Number CoNract Price of Work <br /> 1�E S i nF e��7r A[ <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: /-1 L l E �� �(�(?_�1"�� � R�f�� E i �2_� �--� � ���� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAEiLE. <br /> ( <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> i 1 hereby certily that I have read and examined Ihis application and know Ihe same fo be true and <br /> correcf. All provisions ollaws and ordinances c�overmng(his type o(�vork will be completed <br /> �vhefher speci6ed herein or noL The granfing o(a pennd does not presume to give authonty to <br /> violafe or cancel lhe �rowsions olany other stafe or local law regulatin_q conshucfion or fhe <br /> performance o/cons�rucfion. Thal l arn aufhorized b}�the owner o/tliis propert}�fo peiform fhe <br /> �vork lor which application is made and 1 cornpty�vith Cie Stafe ConVactors Law 18.27 RCW and <br /> 296.200 WAC. <br /> {y� r <br /> �.iCC�+'C.J�, X) �t—✓i"S,.til� L'.' �J — O � _ __ �I � 'J <br /> Signalum ���e ,D <br /> � <br />