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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -r C� �- ��l � <br /> i 1� ��� c� � �� � �- � ��� i� �� r,�<� �-�� t f <br /> T \ <br /> PROJECT ADDRESS <br /> :�'� � � � ul ���t•Ytr� f� kcr� IIo30 /h'uckev /1�c, (r--Ul'�,�, { 1 1i„!;1 `� �j �D1 <br /> Owner MailAddress City State2ip<<-/-29)•3� � ��'�h�n'e <br /> TenaN MailAddress City StatelZip Phone <br /> ElectncalContrador MailAddress Ciry State/Zip Phone <br /> Slale License Num6er Contraci Price oi Work <br /> �"1'1 v rc' •�� �I�� ;-,c., , _ <br /> Propose Use ot Building Contad Person (Plan Review) <br /> Descnption ot Work to 8e Done: ff I �f� r ) i n nG (� i TVl i � <<'�� �U ����� — <br /> Iti1�iL{� �3 rltV'/1� ��-l�[�/ � , � hC� I'2� -Wt c�c�P (t� ri Z'ncluc.(e.S <br /> r�- lu c«+�,�c s�� • tL4�� �: cc 1c� ��«fle ts a�cl f x�t-c�rv s . _ <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 /> 1 hereby certi/y(hat 1 have iead and exarnined this applicntion and know 1he same to be fine and <br /> coirecf. All pmvisions ollaws and ordinnnces govemmg fhis type o/work will be comple(ed <br /> whether specified herein or no�. The gmnting o/a pemut does nof resume fo give authonty to n <br /> violafe or cancel the provisions ol any other stafe or local law regaPting constn�cfion or the /1�1 <br /> pedonnance olconstniclion. That 1 am authorized by fhe owner o��his pmpeity ro pedorm the 1"f <br /> work/or which application is made and I compty wdh fhe Stafe Conlnc(ors Law 1827 RCW and �`O�' <br /> 296.200 WAC. <br /> ((.� C� 2.�,,. ��?L� ; � <br /> � <br /> S gnaWre �1e <br />