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( ; <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES S_Zg,o� <br /> 3200 CEDAR STREET, EVEF.ETT, WA 98201 ��c�_I S(� <br /> 425-257-8810 - FAX 425-257-8857-vwvw.everettwa.org / <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> aaoo ��ux� C�� �o�' ���'�/ <br /> PROJECT ADDRESS <br /> �� �r.� lc�, 9a'a�� <br /> Owner Mail ddress Cfly Stale2lp ,Phone <br /> arc� Q-C�� slis <br /> Tenant Mall Address City SWte/Zip Phane <br /> �.QI1���� .�.�o9/fl�►.G�i�..Q� �ru�t}` G(/� 48zo/ <br /> E�ecUical Conlraclor Mail Adtlress —� Clry SWIe/Zip Phone <br /> ,�s v� �o�ku �s�°�', �' <br /> State License Number Contrect Price ot Work <br /> ��kt�iia. <br /> P sed Use of Building Conlact Person (Plan Review) <br /> Description ot Work lo Bo Do : ��l/f/GAC.� �� ��" ���'" ✓IGGG/� <br /> dC'�O'�'�'+KnE�"�KiG�� <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE / <br /> BE IN RACEWAYS, MC OR AC CABLE. �" <br /> T/ 38 •Sa <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily that 1 have read and examined this application and know the same to be frue and <br /> conect. All provisions of/aws and ordinances goveming fhis type ol worlc will be complefed <br /> whether speci�ed l�erein or not. The grenting of a permR does nof presume fo give authaity to <br /> vlolafe or cancel fhe provisions ol eny other state or local law regulefing consfruction or fhe <br /> peAormance o/c (n�:.tion. Th m auth rized by the awner oI fhis property fo pe�form fhe <br /> work ior which lcation is m o 1 co ly with the Stafe Contractors Law 18.27 RCW and <br /> 2S 200 WAC <br /> s���� � / <br /> Signat e Da�e / (�(� <br /> L��� lJ I <br />