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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETf', WA 98201 <br />425-257-8A10 - FAX 425-257-8857 — www.everettw•a.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBR & CREDIT CARDS ARE NOT ACCEPTED <br />q' Q�— a,19 ,`/, .7 Z. ""'� S i- S� <br />PROJECT ADDRESS <br />'Lt�6-a1'y0 <br />�A�� k�,..��r s�o..� �{zil A�l.oe�wo�,1 ��-� 6�s� L� +���.woea `�191 <br />Owner t,lail Address City State/Z(p Phone <br />Tenant <br />✓ ✓�. O �t O eti � � <br />Electricai ConVactor <br />Mail ACdress <br />Mail Address <br />�J�O�C�4E�. 4�u Q� <br />State License Number <br />'> ve �,e i <br />Proposed Use of Building <br />ary <br />City <br />�y <br />SlateZp <br />�� <br />Statel7Jp <br />Contract Price of Work <br />Phone <br />�E 2s -33s <br />Contact Person (Plan Review) <br />Description of Wark to Be Done: �� P �.,-�-(` f '-'\ � P_ "� ffti l- 'i %�-.� ` LS <br />�:OTE: 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 />l hereby certi(y that 1 have read and examined fhis applicatlon and know the same to be frue and <br />correct. All provisions o//aws and ordinances govem�ng this type o( work will6e completed <br />whether specified herein or not. The g2ntin� of a perrr,it does not presume to giva authority to <br />violate or cancel the provisions o( any other state or local law regulating constructlon or the <br />peAo�nance o/ construction. That 1 am authonzed by the owner o1 this property to peAorm the <br />work-lor which applicafion is made and 1 comply with, fhe State Contrac(ors Law 18.27 RCW and <br />296.20p WAC. <br />� ��- � 1 <br />i <br />._ r�0.;i -- � _,�\ � `3;2-��`� � � �7� � 5— <br />i� ' <br />F�E <br />� S , '- - <br />�(7 S D�O -GO �. <br />