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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETI', WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.evereltwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />—'1 l ; � �� c-�; ,<�'���1 kre,��� <br />PROJECT ADDRESS <br />� �C'..�.�ic'�( �o �7 •ZG :,. <br />Ownur M11ail AdJress City Slale/Zip Phone <br />Tenanl <br />A1ail Address <br />�ily <br />Slale/Zip <br />Phone <br />r-}c�<` ���c �z,-�.2� rc��-r-:�Ts� �'._��_�� ��-����i,�zs 3-,�-rr�S; <br />ElecUical Contraclor Mail Address City StatelZip Phone <br />_f�c��-��f�f'. ��<� ��z-1 <br />State License Num6er ' " <br />� /--a� <br />Proposed Uso of Building <br />Contract Price of Work <br />Contacl Person (Plan Review) <br />Descriplion of Work to �e Dono: tXJt'•'J_L /�.iLy� S�— I-� �cU�il� V�� <br />NOT[: WIRING IN NON•DW[LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />F[E <br />I hereby ceRily thef 1 hat�e iead and exarnin�d fhis application and kno�v Ihe same to be true and 2 <br />correcf. All provisions olla�vs and ordinancos govemmg this type o! wo�fc �vill be comp/efed �� i>(� ✓'O�j� <br />�ahether specdied herein or noL The granfing o/ a pennd does nof resume lo gire authonty fo <br />violafe or c��ncel the provisions oI c+ny ofher state orlocal la�r reguPting consfruction or fhe . <br />peiformance o/ construcfion. That 1 am authonzed by fhe ouner ol fhis property to pe�fonn fhe <br />worklor which applicafion is made and 1 compl}� wifh fhe St�fe Confroctors Lo�v 18.27 RC W and <br />296.200 Ih�AC. <br />� <br />C� Ii `!f" Gf�J` -J �C� l(� j <br />