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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 / Z`-g`n S <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org C d 5'/ 2-O �� % <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i�3 a �v ��vi��c�r�� ,��� i� <br />PROJECT ADDRESS <br />����,� L.I�j�rc�.; D � s 3z �,� N�,_k,�1<<: Z-�,;,-1 �- �� ��.-tfi <br />Owne nlail Address Gtp <br />�l 1���� <br />Tenant <br />L� <br />' l.t� �� �l' 1' <br />Eleclrical Contraclor <br />A7ail Address <br />A9ail Address <br />City <br />Cily <br />wi-� qs�c3 <br />State2ip <br />Scafc�Zip <br />Stale/Zip <br />yzs z�63�z: <br />Phonc <br />Phone <br />Phone <br />Stale License Number Contract Price of Work <br />.Sf r� �'� �y= TU �,� � 1 �� <br />Proposed Use of Buildin� Conlact Person (Plan Review) <br />Descrip�ion o( Work to Be Done: 1 c�- t�� ���1 Z���' °� C, r�c� ac� �� ��� r S <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 hereby ce�tily fhaf 1 have read and ezamined fhis application and kno�v the sarne to be truz and <br />correcL All provisions o/ la�vs and ordinances governmp fhis t}�pe o( �vork will be completed <br />whefher specified herein ornoL The granting o/a pernut does nof �esume to give aufhordy fo <br />vio/ate or cancel fhe Pravisions ol any other state or �ocal law reguPting construcLon or the <br />peAormance o�construcfion. Thaf 1 am aufhorized Fy the o�vner ol this properiy to peAonn the <br />wo�k lor which applicafion is made and 1 comply wiUi the Stafe Confractors La�v i8.27 RCW and <br />�� (�l�c'.,tv <br />�z1^a /Oj <br />FEE <br />v�Z"�/% <br />