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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 <br /> % -, �- J �,/ , n ��,�e �/ <br /> � y�L G�.:SI GVIGL,(1iMM� �I; Y-�.,c% J` /L.L <br /> PROJECT ADDRESS <br /> � �7 � �7 7� �� /� � /, <br /> / ,\ <br /> I'.J .�' f��lJ� �.�^�i i /�� /d / J-E�/ �< �'1L�L�/✓['��t�eG✓/J/� �!/'� ' K�G _ <br /> Owner Mail Address City Slate2ip phone <br /> Tenanl Mail Address City Slate/Zip Phone <br /> �<(�L...i' «'� Ct /E. �.-c 1��L�..e. f' (�ite�At,P/� 7 <br /> Eleclrical Contractor Maii add� res� � Sta�e2ip phone <br /> ___/�n�>� <br /> State License Number Con<<acl Price of Work <br /> �l /Jil�/ ��i/ <br /> Proposed Use o(Building C ntacl P rson (Plan Review) <br /> �y������ �y�� <br /> Descriplion of Work to Be Dona: �.=t� �'J,•,(cX;���,�, <br /> i <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 here6y certily fliat 1 have read and examined fhis applicafion and know fhe same to be(nie and <br /> corr'ecL All provisions ollaws and ordinances goveminc�fbis type ol u�ork will be cornpleted <br /> ivhether speafied he�. �n or noL The granting ol a pemut does nof presume fo give authonty fo <br /> violafe or cancel Uie p�ovisrons ol mry other stafe or local law regulafing oonstruchon or fhe <br /> perfomiance o�cons(rucfion. Thaf/arn eufhorized by fhe o�vner o/th�s property to perlorm the <br /> work lor which applicaiion is mad�and I comply with the Slafe Confractors Law 18.27 RCW and <br /> 296.200 WAC. 1 <br /> ,� rj -,� <br />_ ,- , - ) , - ia � vs <br /> _ I , , <br /> r/`�5i iaWre ' ' Dae <br /> /7 .n <br /> �,� -- ��� <br />