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ELECTRICAL PERMIT APPLICATION <br /> GITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> �25-257-8810 - FAX 425-257-8857 —www.everethva.org <br /> AF'PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� -1 I,J-c�fi � <br /> PROJECT DDRESS <br /> }����,r1�-��I-1� I,� �5� L7� - �_s- <br /> Owner h1ai1 AdCress City State2ip Phone <br /> Tenanl Mail Address City State2ip Phone <br /> � ' L �yUa � �u �" \�� .� <br /> 1 J['`� � l�1'C C\ Y �( ----7/1 z �o .y. .s I_ � _ 1 A' �1��U <br /> Iecir :al ConlraClor htail Address City S1afc2ip Phone <br /> ��St_�L CfdGt� ,FT � �C� � uJ <br /> Slale License Number Contract Price of Work <br /> Proposed Use ol Buildin� Conlact Person (Plan Review) <br /> Descriplion of Work lo�e Done: C r.l r� l'Ll� � 6�r'� l L Lf'M <br /> � �� ( l� T---�'✓..ti ,i _S <br /> �J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO f[[ <br /> BE IN RACEWAYS,MC OR AC Cl�DL[. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereGy certily(haf 1 have�ead nnd exarnined Ihis applicalion and knoiv fhe same to ba Vue nnd ��(I U —v�� <br /> correcL All prorisions oflaws and ordinances goverriing fhis type o(work�rill be complefed <br /> �vhether specifieAherein or noL The granfing o/a permd does nol uesumo to give aulhonty(o <br /> vielafe or cancG the provisions ol any ofher state ei local law regulafing conshuction or fhe <br /> peAomiance ol construcfion. That/am aofhorized by the o�rner o�(his preperty fo perfonn the <br /> worfc!or which applicafion is �de and 1 comply with fhe Sfafe Coi..'racrors Caw 18.27 RCW anA <br /> 296200 WAC. <br /> � � ��-/ <br /> Sipn re Dato <br />