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ELECTRICAL PERMIT APPLICATION <br />CITY O� EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />�J � C�� � �� <br />PROJECT ADDRESS <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />_ _ � <br />,_ <br />� - / <br />, � V � <br />(�;��v�_I°�'i�i�°�� C_> c� ���� �=. �c, i � :; ,_., ��_ , <br />Owner Mall Address ���Y <br />Tenant <br />Atail Addross <br />Cily <br />� �'���� 7T <br />SlatelZip <br />Slale/Zip <br />Phone <br />Phonc <br />ti�Il���I�J����_� L='c-�rr�(� IL'IL�, ��'liN"W.'�`,°rNF�yN� ���ZvI.� (��=i�-1�� '1bvll <br />� <br />Eleclricat Conlractor Mail Address Cily SIale2ip ;`• �` S pho3 4�_ <br />�i- <br />'V�./ �'J� �l `� `��' � i <br />State License Numhcr <br />Proposed Use of Building <br />Conlracl Prico o( WorY, <br />Conlacl Person (Plan Revie�v) <br />Descnplion o1 Work 10 �o Dono: ��f ��✓ > ��= v i� L C�� fr� ( i� � i.;% 1�' c f� �- �� � r�'-� <br />C i �ZCUi'i$ �il-� J�uull�lOU'i� �—i-GUS� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CAE3LE. <br />CITY OF EVERETf LOCAL SALES TAX CO�E IS 3105 <br />I here.by catily Ihaf I have read nnd ezarnined fhis applicotion anA knon� the sarne Io Ge t�ue and <br />correc(. All piovisions olla�vs and onfinnnces got�ennng fhis type ol �vork tvill Ge completed <br />whether speci(eA herein ornoL The c�rantin� o(n pemut does nof presume l0 9ive nuthonty fo <br />wolafe or cancel 0�� provisions of an}• elher slafe or lecal la�r ret�ulafinq wnstrucfion cr fhe <br />performance o/ consfiucfion. Thaf 1 am authorized by the mt�ner o/ fhis property fo peAomi fhe <br />�ti�ork !or which applicafion is rnode and I comply �rith the Stafe Confrt�ctors Lo�v 18.27 RCl1� and <br />29G200 WAC. , <br />�,, <br />'�- � /.� . /� ��f "�'/ //, � � -- � / <br />- .:i. `L_ �l. ,i % �� } '� <br />_� ;' _ <br />FEE <br />�= c7G 3 -N�S <br />