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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICtS <br /> 3200 CEDAR STREET, EVERETT, WA 98201 a _�_ 0� <br /> 425-257-8810 - FAX 425•257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �^��� — � <br /> 7RZ7 Unn�f R��•��� �� �v�" S <br /> PROJECT ADD S � c <br /> C ��l I ���ll� 2RT�' �{ �r �n� ���1,1 �-vu�,,A,o�Q CcJA�9R0'SL: �/ZS- 77S•ySSy <br /> Ownef MailAddross �y Shtc2i0 Phone <br /> Tenant MeilAtltlross Ciry Stata2lp Phonc <br /> trt r'n� Elr ��•[ � �� �� x IZLE4 �YI'IICr�r{'C WA�`�OS� �/Zi- S'uS'- O�{7.C� <br /> Electrinl Contraelor Mail AtlEmss Cdy —� Sute2ip Phone <br /> �erriei OGI; iv1� � � C�E)D. OU <br /> State License Numbar Contract Pnce of Work <br /> R� < 'iVP.J �� 9 � /'1 �'Q N Y'P_/-rl N _ <br /> Proposed se of Building Contacl Person (Plan Review) <br /> Dascnplion of Work to Be Dono�. �� �A �"'�� 'V '/wt' II t�.J �I I 4i ( �u �LP ��N/I �� <br /> T- S��1- <br /> NOTE: 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 /> �� I hereby certdy fhet I beve rend end exemmed Ihis epplicefion and knmv Ihe seme to be frve end <br /> correcf. Al/pmvisions ol lews end ortiinences govemmg this fype o!�tirodc n•ill be complefed <br /> chetherspea5ed herain or not. Th,e grsnfmy ol a pemrd does nof p•esunre!o grve au�horrty to <br /> v�olefe or cencel fhe provrsions ol eny ofher sfefe or locel le�v mgu�etmg conSruction or the <br /> peAormenca o/construchon. Thaf I am euthonzed by the owner o/th�s propedy to peNorm the <br /> e-ork Ior�vhich epp6cation is medo and I mmply wdh the Steto Contrecfors Lew 1 B 27 RC W end <br /> 296200 WAC <br /> ( <br /> l,� �` -�.. _ �� �/� _ <br /> e , ,o� oo�o <br />