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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 /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM s _3-9 �� / <br /> ,��1 Crts� %rlq�uilE�i�,C�. - c�E/1.�TT, i�/�. PB�� / <br /> PROJECT ADDRESS <br /> �fs-� �o� //�/ E u�,��e vie�J��d . �i�etf �,v4 ��z° 1 <br /> Ownor A4ail Addross Ciry SlatelZip Phone <br /> Tenanl Mail Addrass Ciry Slale/Zip Phone <br /> ?OC� , 30O • <br /> F�E4RIC o��,a�.c/ .�� N��s�. s��/e- `t;�• 1���°7 642.� <br /> Eleclrical Conlraclor Mail Address City Slate2ip Phona <br /> �L�c7o� �-S .�GCO. G C� <br /> Slato License Number Conlracl Price of Work <br /> ,1�4�/-{,' - GSE p��I ' <br /> Proposed Use of Buildin� Conlacl Person (Plan Revie�v) <br /> e <br /> Descriplion of Work lo Be Dono: —�NS7�.JLC �E'C'7�C E/�7�.5 /N Z Jf1I,� <br /> �f �ck. 30 ��� ��� r/oLfi �r�� �_ c;�tcv�ts' <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> y <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certi(y ihaf 1 have read and examined this applicafion and know the same fo 6e true and <br /> corroct. All provisions o/laws and ordinances govemmg fhis t}�pe ol work n•il!be complefed <br /> whether specdied herein or noL The�ranting o/a pernuf does not presume to give authonty fo <br /> ��iolafe orcancel tlie provisions o)any otherstate orlocallaiti regulatmg consfruction ortfie <br /> performance o/construcfion. Thaf 1 am aufhorized b}�fha o�rnero/fhis property fo perfomi fhe <br /> work lor�vhich applicafion is made and 1 cornply�vifh fhe Sfate Confracfors Law 18.27 RCW and <br /> 29G.200 WAt. � <br /> �`� u��— ,5=,28-C�'� ,� �(�� <br /> c�naWre Da�e �.�`� <br />