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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES �� _� Z_ �� <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FNC 425-257-8857 - www.everettwa.org �� � O�i - 1 I Z <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��b� � ��°��� <br />PROJECT ADDRESS <br />5��;��9 �k �3��.j�_ ���-�e,� , <br />Owner <br />S G�ij�1 �.•C_ <br />Tenant <br />l��n �� <br />Eloclrical Conlra�lor <br />Mall Addross <br />Mail Addr¢ss <br />��v ; 'c �.� 3l �y S� <br />Mail Address <br />1��/�/�/� -� l��`� 1 S`� �� <br />Stale License N�mber <br />Proposed Use o� Ruildinc� <br />Gty <br />Cily <br />l r� A� <br />Cily <br />Descriplimi of Work to Dc Done: <br />�'��J 1`,� �'�' V' l�! � � <br />NOTE: WIRING IN NON-DWELLINGS IS RE(�UIRED TO <br />�E IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />���n;�0 <br />Slate2ip Phone <br />s�a�e2ip (�—/�.a�1Oo�3 <br />(�ii9 IB,�� 3 5��� <br />State/Zip Phone <br />`�Oo � <br />Conlr�cl Prico of Work <br />Conlacl Person (Plan Review) <br />1 hereby certily fhaf I have mad mid examined this ap��licafion �nd kno�v fhe same fo bo froe end <br />cw�nct. All provisions of lans and orAinances govemmg fhis Q�pe o/ work will be complefed <br />rvhefher spec�6eAlierein or noL The c�ranfine� o! a permd does nof �resume to gi��e authonty fo <br />vicla(e or cancel the provisions o/any ofherstafA cr localla�v rec�ul�fing consWcbon or iho <br />peifonnance o/ conshucfion. Tliat 1 am nufhorized by fhe o�rner o( this properly fo periomt fhe <br />�vork lor which applicnfion is made and I comply �rifli Il�e Stafe Conlractors Lew 18.27 RCW mid <br />29G.200 WAC <br />. -� . � . - -. / _ [ <br />� I <br />�: i%� r�l.rj�i � • �� I <br />—=�--- � i ; <br />PEE <br />1��� ���� <br />