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t -- <br /> 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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��o/ ���'�'.//�;?,c� �,c� . t ! _ <br /> PROJECT ADDRESS <br /> I_,_% /,`L��z'/oo,�nr.�, � �(• � /9�0/- �D��o�� ��, ef�a 1 ��03G �`/o��'���o •����1 <br /> Owner Mail Address City � State2ip Phone <br /> Tenanl Mail Address City SlatelZip Phone <br /> //1=�i � _ + f ,�t /�30.� ������A« �J ��,�.,r�Js `��'e�� � ����' ��,�• �/G� <br /> EleClrical Contra ,or Mail Address City State/Zip Phone <br /> �JyJC�.tJ�nl,� 'io � � �- (,� .���. � 3 <br /> Slate License Number Contract Pn'ce of Work <br /> / � � „ ^� -" <br /> �n f �/cl u <br /> PropoSed Use of B ' i Conlacl Person (Plan Review) <br /> Description ot Work to Be Done: G�J I Q � Nd'�� /'n � /4�c� O <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> / D � 3 . " <br /> , <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> I hereby certily thaf 1 have read and examined fhis application and know the same fo be true and <br /> correct. All provisions olla�vs and ordinances governing fh�s lype ol work will be compleled <br /> whether spea/ied herein or noL The granting of a pernnf does not resume to give authority to <br /> violafe or cancel fhe provisions of any ofher sfafe or local law reguPting constn�cfion or the <br /> perfom�ance ol construction. That 1 am authonzed by the owner ol fhis property fo perform the <br /> wak/or which application is made and 1 comply with fhe State Confractors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> i <br /> '"' ,� � �l> - -p5 <br /> Signature Date <br /> �G �l p`�-:O <br />