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ELECTRICAL. PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR StR.EET, 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 /> • <br /> —1-:€-'/‘‘-'"`L-•'`"-- -El.r J .o 2�ek,r itt�z_.�. Eve, c+C' --v.-- 4�'z�'�f 360-'534,o Gg z - <br /> Owner Mail Address City; State/Zip Phone <br /> S <br /> pi <br /> 1�= 4� r4-3OvE-- <br /> Tenant Mail Address f City State(Zip Phone <br /> Lo g1.,ee:-E-r�-e. zvte. 17 O ¢ _ Eve -i w,4 �'�D 7 1.Z5 3Z 96 :3 <br /> ectrical Contractor _ Mail Address City- State/Z p Phone <br /> N 11.1 . �k 5 9�,7 1,Q <br /> l21ppa <br /> State License Number Contract Price of Work <br /> 5 �3 ss -964 <br /> Proposed Use f,Build ng„ " « � Contact Person (Plan Review) <br /> Descri tiori of Work to Be Done: <br /> or e <br /> p �=�ew�o�e�, � 'k,-.42... �o��. c�,e��;e l a,�aysZ •. <br /> �t1` e.Nu►�csi ak a• a ,-- )4'--tn 5. -tee. -tro � �� ; <br /> Idle:z _ s-esu._ '�- e.�.e .b ilex X t 2dc vt�a�u a�c��w� fir-cue= d s . <br /> NOTE: WIRING•INNON-DWELLINGS IS REQUIRED`TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> E.CITY OF EVERETT LOCAL,SALES TAX.CODE.IS 3105 <br /> I herebycertify that!:have.read and examined this application and know the same to be true an <br /> oq(� 13 <br /> correctAll provisions of laws`and ordinances govemrng this type.of work will.be completed <br /> whether specified herein or not The,granting of a.permit does not-pp.resume to.give authority to <br /> violate or: cancel the rowsrons of anyother state or local late regulating construction or.the <br /> performance of cons ruction That lam authorized by, the: owner. of this .roperty to perform the <br /> work-for whicho application'is made and 1 comply with the State Contractors taw 18.27 RCM/and <br /> 296.200 WAC.- <br /> Signature: Date - <br /> a <br />