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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 />APPLICATION� ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 0 3 3 c, �C��1— rr���(.�TC�� ��v�. <br />PROJECT ADDRESS <br />( ;1 �,at, LUS�-+�E�- <br />C��.�,.�� Srlrne <br />Owner Mail Address Cily Stale2lp Phone <br />Tenant <br />Mail Address <br />Cily <br />StaleJZip <br />Phone <br />ti 1 trd��l'(� ��Eti�zlc.. �20� 'tE��;�'S-i" n1t�J S�N!.� c,�;1 �� Zi'L �-I2S 30�, 5�5� <br />Eleclrical CoNrector M11ail Address Cily State2ip Phone <br />j.)t�,f<,1C-_1 ���:>><i. <br />Slalo License Number <br />� �- r <br />� '" f r n i[_'n � <br />'��. �'' ( <br />Proposed Use o( Building <br />ILJ� _ <br />Conlract Prico of Work <br />Conlact Person (Plan Reviow) <br />Descriplion of Work lo Do r. 3�� ���1 � �'1 R-�.V�T Ti� Q� )T }�( ) � l.�)1J(�% <br />NOT[: 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 certi(y fhat I liave read nnd exarnined fhis apNlication and know fhe same fo be buo and <br />correcL All provisions of la�vs and adinances ,qovertung Uiis type oI �vork rvill be comploted <br />whefher specified hcrein or not. Thc granfing ol a pennd does not resume to givo aufhon(y fo <br />violateorcancelthe I�rovisionsolanyofherstafeorlocallawreguPtingconsWcfionorlho <br />peiforrnancc o� constnrcfion. That 1 am autlioiized by th� o�vnerof tlus property to perfcmi fho <br />�vork tor which application is mado and 1 cornply �vith tlie Stafe Contracfors Lew 18.27 RCW and <br />29G.200 INAC. <br />53�-�I <br />FEE <br />(-_ � � l,� 5 " � � \ <br />