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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 /> �'7/3 e S�. <br /> PROJECT ADDRESS <br /> � <br /> �t�, /Yorr�_c �o �s�v �9,'� ,L�v�r�`� � ���206 <br /> Owner Mail Address City State/Zip Phone <br /> /' � � <br /> Tenanl Mail Address Ciry Slalel2ip Phone <br /> l ���� e� i� � , i � <br /> Electrical ConlraCtor Mail Address City State/Zip Phone <br /> �.p a b <br /> Slate License Number Conlract Price of Work <br /> ( ,'?a✓�:�tP d ���ar'e)aP �C�.. f�ar �il <br /> Proposed Us of Building '� Conlact Person (Plan Review) <br /> Description of Work lo Be Done: �i„/ /�I'.t�JGJ . �- L/R/��i(-NCC�'�/'er• <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 /> I hereby certily fhaf 1 have re�d and examineA fhis applicafion and know fhe same to be frue and <br /> co�rect. All provisions o//aws and ordinances govermng lhis f}�pe oI woik a�ill be completed <br /> whe(her specified herein or noL The�rantinc�o/a pemu(does not resume to give aufhonry to <br /> violate or cancel the provisions ol any other stafe or local la�v reguPting consWcfion or the <br /> peAormance ol construcfion. That 1 am au(horized by the o�vner o(Ihis property to peAonn the <br /> work(or which application is made and 1 wrnpty�vith the Sfate Confracfors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> �--- � �� 2f v� n 1�I <br /> SignaWre ale ��., <br /> �� <br /> �/ i <br />