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t <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32�0 CEDAR STREET, EVERETT, �tiA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> ����U S�}�1-�UkSj <br /> PROJECT ADDRESS <br /> FA �rrt Ci3�, < rA�-r,.�vsr e���crr, u��A . `�520.3 <br /> Owner Mail Address Cily State2ip Phone <br /> Tenanl Idail Addiess Cily State/Zip Phone <br /> P�G'SCH El-CCT1��c 111Ci PTi L'�L�c �G�� IAKC`SFv[�ISf U;A .j��5�1� '-�-15 39 i 87CS <br /> Eleclrical Conlraclor Mail Address City State2ip Phone <br /> P�osc�-F�'L q�13 E�'T <br /> State License Number Contract Price of Work <br /> Pruposed Use o(Building Contact Person (Plan Review) <br /> Uescriplion of Work to De Done: l-L�`�i�-- (��-c{ SP_t'v1C.tr Ititi� '��' Y IY'' �U 2� <br /> NOT[: WIRING �N NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � �5.z. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceriily thaf 1 have mad anA examined fhis application and know Ihe sarne fo be We and <br /> coner.L All provisians o!laws and orAinances�ovenung fhis type ol wark will Ge cornplefed <br /> whelher spaa/�ed hercin or noL The granNn�ol a perrnd does rut resume to pive authonty to <br /> viola(e or cancel the provisions ol any ofher state or local law reguPting construcfion or th� <br /> perfonnance ol consiruc6on. That 1 am aufhorized by the o�rner o/fhis property to pedonn 7he <br /> work lor�vhich application is maAe and I compl}��vilh the State Contractors Law 18.27 RCW and <br /> 29ti.200 WAC. <br /> i <br /> i� � f: 1/- IS -Gti <br /> s�9naw� �G � „a�a _— <br /> � , <br /> �.'�/%-��— <br />