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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES 3_�6_�5 <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org c�90 s-� a 6 <br />--, �i,r_ <br />,_ � <br />, , <br />PROJECT ADDRESS <br />t,�` <_l c. � i -- <br />Owner <br />Tenant <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />i <br />, r <br />(,_ � l� �` c'.' �. i "1,��_ — <br />���`l/ 1 2� ��- .S� <br />A1ail Address <br />Fdail FAdres:� <br />,. <br />G�v <br />Cily <br />l� k,�� "r= t� �:f-U-t� t��� 7�( l�«.K l,-„7\ ,�t,;�_�` t <br />Gleclrical Conlraclor Mail Address Ciry <br />r\ 1'�� \ t- Lt << j ��� /-% l� _ <br />Stale Licensc Number <br />��<< �lca. b'�l.wL\� 1 � .��,�'��� <br />Proposed Use oi Buildin� <br />Description o( Work to 6e Donc: �-�" '`�``� � �- ' � � � `" � � <br />\ <br />��',<<'tl� ;'z � \�.� Jiti,^�P— <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, A4C OR AC CABLE. <br />� ,; �,,-.�. <br />''����' � 1'.,� I�'- <br />Sta1clZip Phon� <br />State!Zip Phone <br />' .,.�L'���`ii.U�.��� '�-i_! `�(-`'' �'_�-?J��) <br />State2ip Phone <br />�� lr'�% " <br />Contracl Price of Work <br />7 � <br />; _��J..� `..�1 � Ll (�l� i �'�'—' <br />ContaclPerson fP'an Revimv) <br />:-{7.�1— LU.�.-.�LV;C�L: <br />`..�:� ��•�L�i_�`.� <br />, <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />I hercby ccrtily th, � 1 have reaA. nd exarnined this applica(ion and kno�v fhe sarne fo be true and <br />conecf. All prcvisions ol �vs and ordinances yovenung fhis t}�pe ol wo�k �+�ill be completed <br />wnether specilied herein r noL The g:anfing o! a pernuf docs.iroi resume fo give authonty to <br />violafeorcancel(heprov ionsolanyothersfatoOrbcalla�yreguP6ngconsiructionorthe <br />peAorrnance o(cons(ructi n. That ! am aidhorizeAby fhe ou�ner o� fh1's oroperty to peiform fhe <br />work lo: n9ilch applicatior' is rnade and 1 contWy with fhe Stafe Contr3clors Law it1.27 RCW and <br />296.200 bVAC. � "� � � l <br />----_ _ il `_ / � ` . <br />��L <br />FEE <br />�._(�`IC'� lZis <br />- ,� � _ <br />�L- =', � — <br />