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( � <br /> ELECTRICA►L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—wvuw.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� '�� � ��ce�- ���� �`s� � <br /> PROJECT ADDRESS <br /> Sn��1���,� Ols�,� �`�U`� �����v� C'��ere�'� w,�-��� i <br /> Owner Mail AdCress City S�alelZip Phone <br /> ��(,;�V"�� N�7'c�T7',.�j �'� <br /> Tenanl Mail Address Ciry SlalelZip Phone <br /> �1�L S�-`b I'b C�t �� S SP(atflp W/��G514�I ��'3a '� <br /> ElecinCal CoMraCtor Mail Address City Stale/Zip Phone <br /> �c�Li�US�C�.-�� � ��G��a <br /> State License Number Contrect Price of Work <br /> ?� i��c-i�� ��o5h Trulsc�� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> ao�^ -���0-7���� <br /> Description of Wcrk ro Be Done: �I"�C ��I� '�v� ��� CI eC���{� C�rC�II s �� <br /> s� v>�n�'� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABL�. T-�CJjJ <br /> �V <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 <br /> 1 hereby certily thaf I have read and examined(his application and know fhe same fo 6e fnie and r I� � , �� <br /> co�recL All provisions o/laws and ordinances govommg f�is rype ol work will be complefed G � � � <br /> whether spealied herein or noL The granling oI a pamuf does not presume fo give aufhonty fo <br /> violafe or cancel lhe provisions of any ofher sfafe or local/aw regulating construchon or the <br /> perlormance ol construction. That 1 am airthonzed by the owner ol this property fo peAorm the <br /> work!or which application is made and I comply wifh fhe Sfale Conhactors Law 1827 RCW and <br /> 296.200 WAC. <br /> ` --�-v � �� 2— <br /> Slgnalure Date <br />