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J <br />PROJECT ADDRESS <br />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 FRUM 8 AM TO 4 PM <br />r� <br />`;�i' ,,c��� .�%�`/t<� ���%l•;� v�/�`"�-.,-� �'�/'`%�'-3 `��•�53 �%sic� <br />Owner Mail Address Ciry State/Zip Phone <br />Tenanl <br />Mail Address <br />Cily <br />State/Zip <br />Phone <br />- L=;-; /�;<s,���'� -«:�i�./,-2. <br />Elecirical ConlraClor Mail Address Cily State/Zip Phone <br />Stale License Number <br />Contract Price of Work <br />Proposed �lse o( Buildinc� Contact Person (Plan Review) <br />I� , ,-.. <br />Descriplion of Work to Do Done: �- �V �� � J�f.�d /6 HT �) i�� �! r'f j� ��i� �/c,f/��i <br />�,�/i'�.C�� /l.,:.r � .�l�o �i> .�.t_eF �.�F�i!E� %�✓'� /�G �.%�'✓,` <br />� <br />���-' ��y;i� ��;�;�,^„��',� e'T �'/�� ��G%� N�l� f�ri9r..� /,S�fl�LO <br />' <br />NOT[: W IRING IN NON-DW [LLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY UF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby certify (hat I liare read and examined this applicetion and knon fhe same fo be true and � U� �� -��� C� <br />con�cf. All piovisions ollaws and ordinances governuig fhis type ol work �rill Ge complefed <br />�vhether speafied herein or noL The granting oI a penmt does nof reswne fo give aulhonfy lo <br />violate or cancel fhe provisions o/ any olher sfate or local law reguPfing consWction or the <br />perlonnance o/ constn�cfion. That 1 am authonzed by Ihe owner o/ fhis propeAy to pe�fomi the <br />wo�k (or �vhich applicalion is made and 1 comply �rifh the Stafe Contracfors Law 18.27 RCW and <br />29G.200 VI�AC. <br />�� � � " �i <br />� / =` /; !�=/: ! i.� i �/`'� � ,�. <br />