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{ <br />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 />��08 WA��J�i ST2EE1 EvL2Ei� �wASHIN�TorJ 98Z.0( <br />PROJECT ADDRESS <br />MA�K I-IA2i w�LL <br />Ownet <br />P.o. t��uX 85� <br />Mail Address <br />MR2YSv i LL E <br />Cily <br />9�Z�0 - c.hSE, <br />WRSN�NGZU11 <br />slate/zip <br />3co <br />t,Sa-oS�Z <br />Phone <br />Tenan� Mail Address City Slate/Zip Phona <br />�..xo� c-�c�T2ic.,=uc 9�Zh4 �c.o <br />zzc.�u ��_�c� �0 7eo�o �,�;.��y .�.�rtiHiN�t�� �� cva <br />ElectncalCoNrador MailAddress City SlatelZip Phone <br />wccpS`� �41CC� <br />Slate License Number <br />MJLT�Ff7RlILY I-lou5iva �G> � PLEX� <br />Proposed Use of Building <br />Description of Work to Be Done: �' Ef�PCE E X� S i 1 �..1 G- <br />�2C-.IL,GC� <br />Conlract Price of Work <br />Contact Person (Plan Review) <br />e�Ec1r Icn� SE�v��C <br />PA�C-LS /ML�'i'BZ �S[-.7 /M�:Iu ?�RC-�JY�'LS - EXiE2lu2 Tv f3U1LDi1JC-, <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />FEE <br />1 hereby certlly thaf I have read and examined fhis applicafion and know fhe same fo be frue and E U1 U-1 - 1 �.� <br />conecL All pmvisions ollaws and ordinances governmg fhis lype ol work will be compleled <br />whether specilied herein or noL The yranfirrg ol a pemtrf does nol presume to give autho�ity (o <br />violafe or cancel fhe provisions ol any other sfafe or local law regulating consfniction or the <br />pedonnance ol construction. Thaf I am a�rthonzed Gy the owner ol fhis property fo pedomi fhe <br />wo�k Ior which applicafion is made and 1 contply wifh fhe Sfafe Con(racfors Law 78.27 RCW and <br />296.200 WAC. <br />\'11 , C . �� cti.�� � � J� � �7- <br />- s�9�,���« o:,�� <br />