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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 // - a 5—og <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org C� �� v/ 6 5 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �Lt1 �1� ���r .� '��. ; �i�� .� - <br /> • � �> <br /> PROJECT ADDRESS ((�., <br /> �� •7(i <br /> �i , <br /> E'; i� :f �,. .��. , bl`�i�!1, .., //G2 fia��<«;('"o, /i,� [ Z,..-c> i 11��.7 �'7a 1� � <br /> Owner Mail Address City SlalelZip Phone <br /> �v� .1'i ri�5 /7�N�ir/C� <br /> Tenan� Mall Addiess City SIatNZip Phone <br /> % n <br /> ��1;�- ,-�-� /7�,, ; '.�? �%�P r�l�, /%���� <br /> Eleclrical Qoniraclur A1ail Addmss City Stale/Zip Phone <br /> Slate License Num6er Contracl Price of Work <br /> �'>� �: <br /> Proposed Use ol Building Conlacl Person (Plan Reviewl <br /> Descriplion o�Work�n De Donn: �/',:� ri;;I �-, (;�ti1l� �� `� � <br /> �� � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQIIIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CAf3LE. <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3M05 <br /> 1 hereby certil}�fhat 1 have mad nnd exnrnined Ihis application and hnow the same to be frue and <br /> correcf. All provisions o(la�vs and orciinances gorern,iig(his lype ol u or��vill be cornpfefed <br /> �rhefher sper.ified heiein or noL The c�ranting oI a pernut does nol �resume to�ive authonty fo <br /> violafe or cancel fhe r�iavisions o(any oU�er sfate er local l���ti�ro�ulofing construction or the <br /> pedonnance o/consln�cfion. Tht�t I arn airthorized by the o�rner o/fhis property fo peifomi(he / <br /> �rork lor�tihrch applicntion is made and 1 conrply tvith ll;e Sfate Con6�cfors La�r it3.27 RCl1�and / <br /> 296.20011�AC. / � <br /> ,��'`�-�- � <S� ��T � � �l ' ��ys <br /> . �____--- - <br /> Si�uia�mc oa�o <br />