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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 9C�201 <br /> 425-257-8810 - FAX 425-257-8857 -v,�vw.everettwa.org 3_ a g -0 7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G ��b��'(�g <br /> � `� '� �� � � " " �'� � i'_ � <br /> PROJECT ADDRESS <br /> � 1��;�, <br /> � - . , • �� � � -i', ,I� � ;_ �`�'� • � ,i i � � r v <br /> `� - - - - <br /> Ownc�r �� Maii Pddioss City Stale2lp Phone <br /> Tenanl hlail Addross Cily State/Zip Phonc <br /> r' <br /> � - ' �vl�� �l_u i .\V�C, lU -tt�c . ',��I ti ���x� 's�, EV�X 2� � ..ti'�, `'1'-_ � � � ', 1 , ': , <br /> Eleclrical Conlraclor Mail Address Ciy Staic�7_ip Pnene <br /> ��{ L �:� I l�r l- L�b c� j IV J _ <br /> Slale Licensa Number ConU2cl Pricc of 6Vor4: <br /> Proposed Use o(Buildinc� Conlecl Pcison (Plan R�view) <br /> n � - _ <br /> DescriplionofWorkloDeDone: �e " �..���� �. ����J\V1�-, ���—���� _ <br /> r <br /> �rXSIS � IN!_, 2U�'• �ItiSF� �U . �� . Jr( � Il.!'� <br /> -� - <br /> NOTE: WIRING IN NON-DWELLINGS IS R[QUIRED TU FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. `N� _ � �, <br /> � > — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ce�tily that 1 have read and exattiined this application and kno�v the same fo be true and <br /> con�ecL All provisions oI laws anA ordinances govem�ng fbis type ol work wifl be completed <br /> whelher specilied herein or not The�ranfing ol a pemut does not presume fo gire aufhenfy to <br /> violafe or cancel(he/xovisions o!any other state or local la�v rec�u/nting conSWcfion or the <br /> 9o�rk lor�vh ch a�li'cation is n,a�de aa��lc o�rn IZ��t�}fhoeS(ate Gonhactors Law�8 27 RCIN�and <br /> i� <br /> 296.200 WAC. p� P y ,/V <br /> / — � _ , �t�o <br /> - � ' �i�' `*--� � I �� I �.�- �`i;i <br /> �SignaWre ' .. -- Date � ' <br />