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ELECTRICAL PERMIT APPLlCATION <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 11RE ACCEPTED FROM 8 AM TO 4 PM <br /> c„1;��r <br /> t122 (�, 1 ��� ,� v� Sc �%I <br /> PROJECT ADDRESS <br /> l.C'i! %r %1 � i L( ��,�� �� - _ v� �i_)(v1y � <br /> Owner Ltail Address Cdy State2lp Phone <br /> Tenant G7:iil�ddicss City SlatclZip Phone <br /> �m , ICP / f:�r. CL ✓� _ �,U. l�o'iC .3 �s� �Ir� �n(:TY�� Gl ),4 `1bZZ.� `�.?S '�/,�' �l 1S <br /> EleCfrical Co raclor fdail Adtlress Ciry State2ip Phone <br /> - I , - �� 1 <br /> 5:,,_i<<_ � � �i3ak V <br /> Slale License�'�.imber Conlracl Price oI Work <br /> t�ir�. ! S�• ��•; �ti tA✓�� � �! �eS� o�e ..� <br /> Proposed Use o18� Iding Contact Person (Plan Revicw) <br /> Description o(Work to 6e Done: JlE�-✓ �; nL�t -4-A ,��n � I�1 d� w� ���`v� a � � �ti �}- <br /> O �� P l c� r+� t.0! �'� ' r,a , J <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA�LE. <br /> CITY OF EVERETT LOCAL SALES TNX CODE IS 3105 <br /> 1 hereby cerfil}�thaf 1 have read m�d exarnined fhis applrcafion and kno�r Ihe same fo be tn.c and <br /> comect All provisions oRa�vs and ordinances�ovominy this fype oI�sork will be compleled <br /> �rhether speafied herein or noL The granling of a pemut does not presume to give authoity to <br /> violafe or cancel fhe provisions o/any other sfate or local law�egulafing construcfion or fhe <br /> perfommnce o/conslruction. Thaf I am aufhoiized by the orvnero�this property to peifonn the <br /> work(or whicl�applicafion is�ade and 1 cornpl}��vith fhe Stafe ConVectors Law 18.27 RCIV and <br /> 29G.200 WAC� <br /> � <br /> � �/ <br /> '� � <br /> ��._ ' .� - ��^ I _�� � �1 <br /> ,��- � <br /> - si et6re na�e �'); <br /> / <br /> i ' <br />