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r <br /> : <br /> 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 /> �7�� ��/��f—��L��7 �E. <br /> PROJECT ADDRESS <br /> 9zs 3���4� <br /> ��� �E%c�-,� 17!4 "�cx eFr—Eu c-c cw�, -Ev�c,��—r l,��-�6 2c�1 <br /> Owner Mail Address City Slale/Zip Phone <br /> 7f�—✓l/�t- <br /> Tenant Mail Address Ciry Stale2ip Phone <br /> �TDw�� b�'+�1��1_ <br /> Eleclrical Conirac�or Mail Address Cily Slale2ip Phone <br /> Stale License Number Contracl Price o�Work <br /> SIIJ(��� FAVN(LV �OM£ <br /> Proposed Use of Building Contacl Person (Plan Review) <br /> Description oi Work to�o Done: L1(.,�-/� f' Q�']Z��S %UZ... ��yj �jE�Q(�v'.� � t,)1�1�Ip� <br /> r <br /> ��-4=L'In�� <br /> NOT[: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE � <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat 1 have raaA and exnmined fhis applicafion and know fhe same to be true and <br /> correcL All provisions o/lau�s and o�dinances govem�n2 U�is lype ol work wi116e complefed <br /> whether specdied herrin or noL The granfing o!a pennd does nof msume to give aufhonty fo <br /> ��iol�te or cancel fhe pro��isions ol any other state or local law reguPfing consfruction or the <br /> peAonnance ol const�uction. Thaf 1 am aufhonzed by fhe owner o/lhis property fo perlorm the <br /> �vork Ior ahich applica(irn is made and 1 comply with the Stafe Confractors Law 18.27 RCW and � <br /> 296.Z00 INAC. <br /> 5 -y -� 8 _ � ' �G � , � <br /> � -��%�----- <br /> ��Signature Dale � <br /> � . � • <br />