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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 /> `� `/ 3 � - r�����e,�so�v-; /J✓z- <br /> PROJECT ADDRESS <br /> J i M �0'�1:./4�-7 L��3� - �.�fJc,v'�✓'�7 n2• %1M4 �il.l, Q/(�oW ���' .�,Sai-�� 7 <br /> Owner � htail Address City State/Zip Phone <br /> Tenant A1ail Address City Stals2ip Phonc <br /> s�42�t�nrcc- Gu�r.,.c � 9Y) i- s�- �/s�''/� �tZu���.e i,�9 . `7a�✓�e' 2.ti 7'73 ,Lb'J <br /> ElecUical Conlraclor letail Addwss Cily Siate2ip Phonc <br /> � <br /> CJVE/_GE ( Uf 7L7 �GV <br /> Slate License Number Contrar� price of Work <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Description u�Work lo�c Dona ���I �i� i'L�,�(�y��L/�^�-- <br /> /�i� vccT�c, r�2 l-�utiU�� �� z.�t <br /> NOTE: WIRING IN NON-DW[I.LINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, �v1C OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby r,�pily(hai l have rraA and exarnined Ihis applic�tion snd kno�v the same fo be frue mid <br /> co�recl. n/l piovisions ollaws and ordinances govemmg fhis f��pe o/work �rill be completed <br /> �rhether speci6ed herein or noL The�ranting of a pernnt does nof �resume to give aufhodty fo <br /> v%�laie or cancel the Inavisions of an}�ofher cfafe er local In�r reguleting constn�c(ion or the <br /> rrfomiance o/consfn�cfion. Th�f 1 arn authoiized by the o�rner o/this property fo perfomi the <br /> irork lor�vhich application is rnade and 1 cornpl}��rith the Ste+fe Confracfors Laiv 78.27 RCW and <br /> 296.200 INAC. <br /> � <br /> /,' t ` ) / <br /> L�—" � � �,c' / _� �� �� <br /> Si�7nature Y� Date ^ / /, / � <br /> Cl lJ <br /> � <br />