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ELECTRICAL PERMIT APQLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREEf, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8957 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />3 3 ZZ ._S ,2.,,� �/G cc S<-J �vF..eG-; � c.✓�I `l bzo3 — i3 �� <br />pROJECT ADDRESS <br />O.�mer <br />Tenant <br />e S� /l �ovlE <br />Matl Atldress ' Cl;y <br />MaN Address City <br />Sta�dLp <br />STate2lp <br />yZ> `,�- Zss/ <br />PnOnO <br />Phone <br />�nAeo.-�rS C�ec'� �� /G2o L7a�' S�_ �n..ce�-/es W�% 98Zz� S'l�Zn3MtY3 <br />EleChifal COnbBCtor Mall Address Clry SlatdLp Plqne <br />n'� �, � �/�o <br />/-YvACO��E 08 �fp/� .��SJo, o 0 <br />State License Number Conhact Price of Work <br />!'^eS.�GnG¢ SCiG /-�SCr 36o,2dZ-2fi%/ <br />Proposed Use of Bullding Contea Person (Flan Review) <br />Desaiption ot Work to Be Done: <br />NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO <br />BE IN RAGEWAYS, MC OR AC CABLE. <br />CITY OF EVERE7T LOCAL SALES'fAX CODE IS 3705 <br />I hereby certily draf I have read and e.xamined this applitafion and know fhe same (o be true and <br />cortsct. Nl pmvisions d laws arrd adinances goveming this rype ofwoB will be, comp�efed <br />whemer specified herein o� not. 7he gran6nq of a perm�� dces not presume fo grve authority to <br />violate or cancel the provisions of eny othe� sfate o� local lew �egulstinq consWctlon or the <br />oeAortnance o�cOnSUuctlon. nrat I am aufhorized by fhe owner o/thisp roperry to psrform Ne <br />wak for wbieh applicah�on rs made and I comply with the StaM Cartractors law 18.27 RCW and <br />2.vR.2oa WqC. <br />FEE <br />E�'qV(p-0(�f <br />Zp� Sb'd SO�CO 80/CO/90 <br />