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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf, 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�C�-����,�-�/_s� �� r-'1 <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />Eleclrical Coniractor <br />7 � <br />,`/!�-.-�7%�. <br />Mail Add ess <br />Mail Address <br />,,�_�pO/_� sl.��/` <br />Mail Address <br />/%.t��� � � � �>.,1 `/ C � <br />Slale L(censo Number <br />. ���J <br />Proposed Usc� of Building <br />Descriplion af Work to 6c Done: <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BL= IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVCRETT LOCAL SALES TAX CUDE IS 3105 <br />Cily <br />Cily, <br />/ <br />. <br />7� �' ,.'� <br />State/Zip <br />State2ip <br />Slsi�/Zip <br />� <br />.:=„zGZJo �— <br />Contract Prico of Work <br />la--/6-!d'l <br />G/OlZ /DC/ <br />=S <br />Phone <br />Phone <br />�c�3� <br />Phone <br />ContactPerson (Plan Review) <br />I heroby certif}� that l lmve read and ea.�mined this applica(ion and kno�v fhe same to Ue true nnd <br />corroct. All provisions o/ /a�vs and orr/inances govern�nc� this type o/ �rork will be complefed <br />whether specified herein or not The granling o/ a pennd does not �rosumr. fo c�it�e aufhonfy fo <br />viola(e or cancel fhe provisions olany otHer stafe orlocall��w rec�ulafinc� consWction or Ihe <br />perfomiance oF nstn�chon. TOat 1 aH� aufhorized b}� the owner ol this property to pedonn fho <br />�vo�k lor which a�plication is made. ahd 1 compl}� �rifh Uie Slato Confraders La�v 18.27 RCW and <br />29G.2001�'AC. , <br />� .r �L�/� [ �/�.J.-� /��,/ : /�" <br />fEE <br />'_Ii. fZ- 1�:,0 <br />