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ELECTRICAL �ERMIT 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 AM TO 4 PM <br />� � � <br />� (pCJI ��x•r, :�� L til <br />PROJECT ADDRESS <br />l��r�, 1_A,:s,.. � �,ot :.•�.;,i '-�J '-r��� U�r; Q�3�3 �Izs�s�y3Yr� <br />OWner MailAddress Cily Slate2lp Phone <br />Tenanl <br />Mail Address <br />City <br />State/Zip Phone <br />�,� (Lh ,�Tj,iL Al-�i(� 12.,o�A:'.bi�_� `�'��r'�-,.i� �}�,1�'a(;?':17 .i7i}y(tozyo <br />[ledrical Caitraclor Mail Address City S�ate2ip Phone <br />• i ti� "1 l l, �� �i' �`I tJ <br />Slale License Number <br />Proposed Use af Building <br />Descriplion of Work (o (3e Donc: ��'�L�`� rtti��`��°� <br />NOTE: WIRING IN NON-DW[LLINGS IS REQUIREf) TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />�'�Z <br />(� ��"' <br />Contracl Price ol 1NorY. <br />Conlacl Person (Plan Review) <br />�� <br />I hereby ceriily thnf I hare reaAnnAexamined this application and know fhe same to be frue and <br />correct. All provisions o� la�vs and ordinances go��eming this q-pe o! �rork will be compfeted <br />�rhefher speciGed herein or noL The granfing ol n pemiR does nol �resume to give aufhonty to <br />violafe or cancel fhe provisions ot anp other sfafe or local law regulating consWction or the <br />periormance o/ consirucfion. Th.at 1 am oufhorized 6}� Ihe oirner o/ fhis property fo perlom� U�e <br />�rurk !or which applicafion is made and 1 comply rvifh Ihe Sfafe Confracfors Law 18.27 RCl1� and <br />�or, �nn wqC. <br />� \ <br />, <br />C <br />�� � 1 <br />_��."`,� <br />r-ee <br />.��;��-ll <br />