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r <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY f�F EVERETT PEFcMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 S _ ZZypc, <br /> 425-257-8810 - FAX 425-257-8857 -www.everetiwa.org '`� <br /> 6=oqos-r�ls <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � C� ������, S-1 . �'1� Z�s <br /> PROJECT ADDRESS <br /> � ��.A�u�Y d ���,�,��-� �10 ���r-. 5\ . F��.e,'t1 �'I�Z�� ���r����z - I�I s� <br /> Owner Mail Address City Stale2lp Phone <br /> Tenant Mail Address City State2ip Phone <br /> ���L�V1�1�'�� �i �C:�1� l �, ��J ���L - �l-�L�'1 � L.� �-����' <br /> Eleclrical ContractOr T Mail Address Cily State2ip Phone <br /> U`Y1(__,L-�T,i� �� ��`� jU..S <br /> Stale License Number � Conlract Price of Work <br /> Proposed Use oi 8uilding Conlact Person (Plan Review) <br /> Descriplion oi Work lo Be Done: ��l.\�`��� �C.I\�`%� \ `r` �, I � �l C14'v1� <br /> � <br /> �C:!(�'�C/� Lti 4r1 �-f�� l.�> � _f.:��l �� � �,t J <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IP! RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE;S 3105 � ��� I` � <br /> 1 hereby certify fhaf I have read nnd examined this applicafion and know the same to 6e frue and � <br /> correct. All provisions ollaws and ordinances governing fhis type ol work will be complefed <br /> whether specified herein or not The granting ol a pennif does not�resume to give authont} fo <br /> violate or cancel the provisions o/any other state or local law re�ulating construcfion or the <br /> periormance o(construction. That I am aufhonzed by the owner o/this property to perform the <br /> work 7or which applicafion is made and I compty with fhe Sfate Contracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ��.,(�//�,% �, =- �� L� �'�r <br /> na- fure !� Dat <br /> / <br /> � <br />