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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 /> ,1�7/ 7 .��/Gr,f'�' . <br /> PROJECT ADDRESS` <br /> r `�' <br /> l�,°ie /.�_ ��/-� 3;�-U -,P�Au��re �rsCrL �r/.� i�.z-�o 3�f-��o,, <br /> OWner Mail Address City Slate2ip Phone <br /> Tenant Mail Address City State2ip Phone <br /> LG i���C� <br /> Elec�rical Coniraclor Afail�ddress Cily Slale/Zip Phone <br /> Stale Liconso Number ntract Prico of Work <br /> C l�,/4.��1�L�-�' ��t L���� <br /> Proposed Us�of E3uilding Conlacl Person (Plan Review) <br /> Doscriplion of Work lo Do Done: �1 rt c�-Y /25',�P( 7�o--�l_ '�r .l��tOin.�� �-�n+-+� <br /> ' V <br /> L r�Ur'J� •� C'S' ,t� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAE3LE. <br /> CITY OF EVEREIT LOCAL SP.LE; �AX CODE IS 3105 <br /> 1 heioby certily that I have rend and exarnined fhis applicatinn and Miow fhe same fo be We end /- I �i�Ci'�"f –UU 5' <br /> cerrecL All provisions o/laws and ordinonces govemmg this typo of work will bo complefed �� i <br /> whether spcafied herein or not The granfinc�o(a permif does not pmsumo to give authonry to <br /> violale or cancel fl�o provisions o/any ofher state or loca/la�v ragulefing construcfion or tho <br /> pe�fomtanca of con Iruclion. That 1 ant eirthaized by the owner of fhis nroperiy to pe�form tho <br /> �vork fdi�vhich appli tionj�mado and 1 comply wifh fho Sfafe Contractors Law 08.27 RCW and <br /> 29fi.P00 WAC. > �,� <br /> ��J/j"!��!�!C l"� l'1 - .�--✓/O <br /> ;�'(. ' � SignaWrC" Dato <br />� <br />