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{ <br /> ELECTRICAL PERMIT �4PPLICATION <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/�RE ACCEPTED FROM 8 AM TO 4 PM r'J ��0 —D� <br /> � 070�'J� ��6 6 <br /> ��> `��I 2�wi� �-».�- <br /> PROJECT ADDRESS <br /> . �- �1,sSD�Z �CZ� - <br /> �7t�i��G is�zc� �,�U °;T . /Jlt�� w��,r � 3;- <br /> Owner�i([('�'y Mail Addmss ,SU(TZ.P ZI (� City StateiZip Phon�-z <br /> Tenanl Mail Address City Slate2ip Phone <br /> �(�1J ���P9.`�'lL 3'�A"z 1 c��Sr sc� t�L'-�tY uJ(� G�ZL<! 47�', —��-�— <br /> EIeCUiCaI CoMraCtor Mail Address City StalelZip Phone(pS <br /> �� G�-� `��1 l�' �� 33cno = — <br /> State License Number Contract Price o(Work <br /> C:G�OI�'�l/v l �J�'15 Si�yNC �nz�-ti:L-t� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Oe Done: (=��Z-��C11�C., �,Jl��'ko �'"�- �- '`" "r �^�.—..' .�'' S <br /> ���J � ��,� <br /> � � . <br /> NOTE: WIRING IN NON-DWELLINGS IS REnUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ' <br /> 1 <br /> - • ,� <br /> CITY 0�EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriil}�fl�at 1 have read and exarnined fhis npplicafion and knou•the same to be Gue and <br /> conecL All provisions ol la�vs and ordinances c�oveming Ihis type ol�rork�rill be compleled <br /> whefher speaGed herein or noL The c�ranting ol a pernuf does not presurne to give authon(y to <br /> violafe or cr�ncel(he provisions ol any ofher sfate or local la�ti-regula(ing construclion or the <br /> periormance o(construcfion. That 1 am�ufhorized by the owner o/fhis property lo perfonn the <br /> work/or�vhich appli ation is made and I cornpl}� .rith the Sfate Con6ncfois La�v 18.27 RCl4�and <br /> 296.200 WAC. <br /> � <br /> � � , ,�� q_���� � CCi,� (�� <br /> i � nal r Date ) <br /> Li ��" � <br /> :� <br />