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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 � z�ZI _ OS <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�OSIZ—�JD <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />.�tl0��th ►'A�l� <br />� s ti �—PR-�— D�� <br />PROJECT ADDRESS <br />C{yae + <br />owner <br />tcl�tr <br />Mail Addross <br />> %Z <br />`15 z. v 3 <br />— Sc���tL /�c�tJr�iS - <br />City Stafe2ip <br />Phone <br />Tenanl htail Address City Slate/Zip Phone <br />(t�� <br />��.G [�cc�rrc (.ory> ZIZS (N6�" S+ Sw S..�i� i�� �.yn�iwoa� Wti 9803(, 3G_' <br />ElecUical CoN�actor Mail Address Cily Stale/Zip Phone <br />�L� Et-L'kqkb �Q <br />State License Number <br />IlLli LIL�I�: i(., l <br />Proposed Use of Bui�ding <br />ti- k�_co <br />Conlrect Price o( Work <br />.�c�rc �•.� <br />Conlact Person (Plan Review) <br />r l <br />Description of Wark to Be Done: � L�Y�� �+ 7 5�"�t �� +-r�..r��< <- <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 />I hereby certily that 1 have read and examined this applicafion and kno�r fhe same to be frue and <br />conecf. All provisions o/la�vs and ordinances govemmg Ihis fype o/work will be completed <br />whether speci6ed herein or nof. The granfing o/ a pernut does not presume to give aufhorit}� to <br />violafe or cancel Ihe provisions of any ofher state orlocal lan� mgulaling construcfion or the <br />per(onnance o( const�uction. That I am aufhonzed by the o�vner o/this property to peAorm (ha <br />�vorN for wNich applicafion is made and I comply with fhe State Ccntracfors La�v 18.27 RCW ard <br />296.200 WAC. <br />�i � l .� 1 <br />���.�.-..� i'` . �..j.i. <br />i <br />�2�1y�.' p`� <br />FEE <br />