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( <br />ELECTRICAL PERMiT APPLICATION <br />CITY OF EVERETT PERMIT S�RVICES <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 />� / � `%� 2 �cse u�c�c� C� � ve. ,�o � .� <br />PROJECT ADDRESS <br />.��'l� <br />Owner <br />Tenanl <br />Mail Address <br />Mail Address <br />l' %'/Pc �i�'rC /3 �US <br />EleclricalConlraclor MailAddress <br />j�l�c.�J E�- �-'k 9�/ / U5 <br />Slale Ucense Number <br />�,�e�� SF� <br />Proposed Use of Building <br />City <br />City <br />�_ t,l <br />// A�e. M. �_ <br />Stale2ip <br />State2ip <br />'c//a 1,;� <br />Phone <br />Phone <br />c�J���4 °j'8',� } ( <br />City Stale/Zip %j� ys Phone <br />l �.ry Sa-E:2 <br />2c��'lp s9, ft <br />Contracl Price of Work <br />Conlacl Person (Pian Review) <br />Descriplion of Work lo Bo Done: /-� � / f �' � -f�- � � 1/� v �7'��Q � _ �% ��-NdD 'e � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />�o� <br />1 hereby certily fhaf 1 have read nnd examined this application and kno�v the same fo be fruo and � I Z� Z_��� <br />correcL All provisions of laws and ordirrances govoming this type of work will be complefed t <br />whether specified herein or not The grar,�ing o(a permd doos not presume to give aufhonty to <br />violafe or cancel the provisions oI any ofhei stafe or local low regulating consWcfion or fhe <br />perfomiance o( construcfion. Thaf 1 am authonzed 6y fhe owner o/ this property to pedorm fhe <br />work lor which application is mado and 1 comply with tho State Contracfors Laiv 18.27 RCW and <br />29G.200 WAC. <br />��// `/ /��� <br />