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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREE T, EVERETT, VJA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.evereltwa.org <br />APPLICATIONS ARE AC(:EPTED FROM 8 AM TO 4 PM <br />�—�(v�� �G�.�� ��C ��Cvc•�"t _ <br />PROJECT ADDRESS <br />Owner <br />1 $ � <br />Atail Address <br />Ci1y <br />�G �81��� <br />Stale�Zip Phone <br />Tenanl �\9ail Address Ci�y State2ip Phone <br />��a�t✓ �a�Siruc�=r� lD�n� IZZ�`� �I�c VIE (c.�� 5ic�cc�s � 7`x�$ _ <br />Eleelrical Conlractor hlail Address City Slale2ip Phone <br />S \,-. � < L ���2� 0 �� <br />Slate License Number <br />Proposod Use o( <br />ConUact Price o( Work <br />Contacl Person (Plan Review) <br />Description ot Work to De Done: 1 C-4.��) `� �.._�.� I�lr L�«- �—��I� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />FEE <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 '� �� �+, �j ,_��K <br />I her.obvi ceriily B�at 1 h�ve read and exami��eAlhis applicafion and knon- fhe same lo be true and � `� nJ <br />conecl All piovisions ollaws and erdinances �ovennnq this fype o/ wak will Ge completed <br />�t�helher spea/ied herein or nol. The granting ol a pernuf does n�f presume fo give aufhonty fo <br />violafe or cancel fhc lrovisions o/ any ofhor stafe or loca! lau� regulafing consfrucfwn or the <br />perlorrnance ol cons�rucfion. That I am authorized by fhe owner oI lhis property fo perform fhe <br />woih I r which applicafion is made and I comply �rifh the Sfate Contractors La�r 78.27 RCW and <br />2962 O,IyAC. � <br />,,�1 � �l <br />, ; <br />i: i �— t4—� �� <br />=—�- �,�,,:,��,,,,' -- ���e <br />