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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 />PROJECT ADDRESS <br />6 —►��io <br />�J006�(� <br />�Ls-Zs y - <br />�� �� <br />�. ��t o✓� �S 7z � S Z.�� �4+�e %_'��n�.�f � c/�� D3 i3so <br />Owner A4ail Address City Stale/Zip Phone <br />Tenanl �dail Address City Stale/Zip i o <br />206 ;5�'- <br />77 El E�7R iGH� SC'��%'�l'S �i3�s l�Of1 ariPs�' iY���.�,�� r� 9d'�Yv �' �`t6 <br />EIeCUiCaI Conlraclof Mail Address Cily Stale/Zip Phone <br />77l'G�'�[-'S Y� t� �JC� •=� l'r�: '.'l <br />Stato License Number <br />Proposed Use of Buildinc� <br />�' ���� <br />Conlracl Price of Work <br />Conlact Person (Plan Review) <br />Descriplion of Work l0 6o Done: /�CLQ�C� Gf n y_ �-(�i�/ �t vh� OiGr �h%G�s-P�( c,2l7� �'1.¢.�t� <br />Uru�, ✓� r���r� '�4 � fi�e h b2� /�pvv� v .,.�( �o s�u, �s � � � � <br />,� - <br />�i'f� n,A�c.L �e�i��r ✓ev,-�o �r'��� O�o( �p�".�5� �s �!/ �7 sH-,o%'S � <br />NO �[: WIRING IN NON-DW[LLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hereby cer7ily lhat 1 have read and examined this application and icnow the same fo be 6vo and <br />correcL All piovisions olla�vs and ordinances gorernmg fhis fypo of �rorlc rvill be compfefed <br />�rhelher spec�lied herein or not. The c�rantinp o/ a perrnd Aoes nof presume fo give aufhonty to <br />riolafc or cancel fhe provisions o/ an}� ofher sfafe or focal Imv reyu/afing consWc(ion or fhe <br />pe�formance o/ consfruction. That 1 arn ou0�ori:ed by fhe o�rner o/ this prope�ly fo pedonn Ihe <br />�rork /o� whicH application is mado and I compty �vilh Uie Slate Contracfors Lon• 1827 RCW and <br />29G.200 WAC. <br />:�,�,�� G�. <br />� <br />FEE <br />� I GU� -CYo6 <br />