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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 A�r1 TO 4 PM <br /> �'� �I Iti�i n�i�.i.�� )1 v� 1 Ji:t'C�i� i�ll _ <br /> PROJECT ADDRESS <br /> �;.,11�J �f�117��LIN IL'll �,�,�1w�Ukl j1 v� Eb�l�(.1 I I.., i� [1�S'77%- l95Y <br /> Owner Mail Address Cily SlatelZip Phone <br /> 71����L <br /> Tenant Mail Address Cily Stale2ip Phone <br /> �r(�(v� <br /> Eleclrical Conlractor Mail Address City S�ate.'Zip Phone <br /> Stale License Number Conlract Pnce of Work <br /> �_�.•I�ll N( � — <br /> Proposed Use of�uilding Conlact Person (Plan Review) <br /> Description ol Worh to Dc Done: �G�� �-�� '�'���N�i� �_LL CTIz�C �L +�R�'C L �^-'� Nt '^' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE �N RACEWAYS, �4C OR AC CABLE. <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �!— <br /> a Cx� , ( <br /> I he,ebvi certily fhat f have read and examined fhis applicafion and know fhe sante fo be frue and +— /� /- C)�� <br /> ronecl: All piorisiens o!la�ro�s and ordinances governmg fhis type ol work will be cornpleled <br /> �vhether specdieAhe�ein or noL The granting u!a peimd does not presume fo give authonty to <br /> violafe or cancel fhe provisions ol any ofher sfale or local law re,qulating consfn�ction or tha <br /> performance o/const�ucfion. That 1 am aufhorized by fhe owner o/fhrs property fo peAorm the <br /> �vork lor which application is made and 1 compty with the Sfafe Contractors Law 18.27 RCW and <br /> 29&200WAC.��, <br /> -., a <br /> , <br /> /,—� <br /> �'� ' <br /> —, �i <� <br /> --- ——1—�--�` _ -------- �' ` -- <br /> So:ivRi!iu D�IA <br />