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E�ECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — vwvw.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />! z I o ► 3'" �{� i�-- <br />PROJECT ADDRESS <br />Owner <br />Tena:it <br />h7ail Address <br />Mall Addres: <br />� � i' <br />(�Vl� L /LG�� � I�' ZL�� � �.7/�"t <br />Contraclor Mail Address <br />/li�,�n� C 9si�,� <br />Stale License Number <br />Proposed Use of Building <br />Descriplion of Work lo Bo Done: <br />Cl�y <br />City <br />Clly <br />��i%'t a� „/�f�N <br />� 3LS w, �r <br />State2ip <br />State/Zip <br />w� 9yLSZ <br />Slate/Zip <br />Contract Price of Work <br />Contacl Person (Plnn Review) <br />� �/ i , <br />G� i�Ul`.�IVI� `�S `l-rC�.l �`E�i <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br />BE IN RAC[WAYS, MC OR AC CABLE. <br />CITY OF EVERETT �OCAL SALES TN( CODE IS 3105 <br />1 hereby certily fhal I have read and e, mined "�s application and know the same to be fnre and <br />coirect. All provision s of /a�vs and ordmances g�veming this type ol worlr will be comolefed <br />whefher spec�fied he ein or noL The granting o/ a perrtuf does nof presume to c�ive authonty fo <br />violafe or cancel the ,�rovisions o/ any other stafe or locel law regulating construction or the <br />peAonnance ol cons�niction. That I am aidhonzed by Uie owner of fhis property fo peAomi the <br />work lor which applic 3tion is made and I comply with fhe Sfate Contracfors Law 18.27 RCW and <br />29G.200 INAC. <br />� <br />Phono <br />Phone <br />�/7i3ra <br />Phone <br />