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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERIVIIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 �O—O �� D � <br />425-257-8810 - FAX 425-257-8857 — wnvw.everettwa.org � p <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.,.� 1�- � ��G S S�-, �� S i <br />PROJECT ADDRESS <br />I_ <br />TenaN <br />Mail Address <br />Mail Address <br />2c� S/s� f_�� ; E <br />City <br />City <br />� �m <br />r3o � �,c i/ ��� <br />State2ip <br />State2ip <br />/2 <br />Phonc <br />Phone <br />(���`o �, -T�c K,� �F�7"ri c(_ l c 2G �G �%H 5'r.r%� Go r�e 5��,�P� w,� �,�.�5�� <br />Electrical Contraclor Mail Address Cily State2ip ��P � Ph�n3'�� <br />� !�, <br />,���4�`�cl y3G- �.� �r/>s' G�a��i�r!'o <br />State License Number <br />•:�- /r, • j �; � f /��s� -; r <br />P �dse se of 6wlding <br />� �b <br />Contract P ice of Work <br />Conlact Person (Plan Review) <br />Descriplion o( Work to Be Done: i✓e'cc_� 5�'i I/• C-e � C��f-�,n�Y%r /��*/iir OT b�i P <br />—� <br />L r � % � l� i1�GC r k � T J'� V�d� Cc j� Ps � YI / �f e iJ /i?!�i �.rl/� <br />�.,,. � ; i' <br />� ,;-�,, t. <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 here6y ceiiily fh�t I have read and examined this applicafion and know the same to be 6ue and <br />conecL All provisions ol/aa-s and oiAinances governing this f}�pe of �rork will be completed <br />u�hether specilied herein or noL The granling of a pernut does not resume to give aulhonty to <br />violate or cancel lhe provisions ol any other sfate or local la�v reguPting consfrucfion or fhe <br />perlormance o! construcfion. ihat 1 am aulhorized by the owner o/ fhrs property to perfomi fhe <br />�vork lor u�hich application is made and I compty with the S(ate Con6<3clors La�v 18.27 RCW and <br />296.200 WAC. � / <br />� � <br />�—`�,.�.f.,�i � i=-�, C' SF; T s o� <br />FEE <br />�����t-�2 <br />