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yia��7�'S�` <br />ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200CEDARSTREET,EVERETT,WA98201 ��—aCJ�-A7 <br />425-257-8810 - FAX 425-257-6857 — www.everettwa.org �D 7/D �/�� <br />GY/ <br />APPLICAT;ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />;7(`I i'�i1if� ����'r'�`���T�! rl tl'��i�f�,����1`'I`���Cr <br />PROJECTADDRESS <br />Ov.�nef <br />, ;f�� �� <br />Tenant <br />�� i, ,� �, <br />i <br />' i�� � <br />Eleclrical Conlractor <br />Mail Address <br />�i � j(1''i i.11a�l I G r�'l "� <br />Mail Addmss <br />l i(/ l(�17r;(�fl� DF <br />Mai� Addrnss <br />���°��I(��1'I-;'��i��tl� <br />Slate l+cense Number <br />�; <br />I.(��i,(! �'r'���`��- �_ c l( i�4' (Ci <br />Prcposed Use ot Building <br />Descriplion ol Work to Ba Done: <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />Ciry <br />City <br />CIIy <br />Slato2ip Phone <br />ls�--7Z7 ; <br />Phono <br />(N15) CI�t' <br />Stato2ip Phone <br />.+, r;.� � �.�c/ <br />CoMrecl Price of Work <br />�1��r1rnN E: i lire �� <br />Contacl Person (Plan Review) <br />I hereby certily thaf I have read and examined fhis applicafion and know fhe same to be frue and <br />correcl. All provisions o/laws anA oNinances goveming fhis !}�pe ol work will be complefed <br />whefher speci6ed herein or noL The granfin_q oI a permd does not presume to yrve aufhority fo <br />violafe or cancel fhe provisions oI an}� other sfafe or local law regul3tmg construction or Ihe <br />pedonrtance o/ constn�cfion. Thal l arn aufhorized by thn owner ol fhis property fo peAam Ihe <br />�vork lor yvHich apphcahon is made and I compty wifh fhe Sfafe Conlracfors Law 7B.27 RCW and <br />�/rCVK _ �Q <br />FEE <br />� `C <br />�� � <br />� az4� —��0 <br />