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� <br />ELECTRICAL PERMIT 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 />� U JL% �'��{�1 ���:. \,� �' � �' � <br />PROJECT ADDRESS <br />Yu�'�l� `�- L�`��-� <br />Owner <br />Tenant <br />11���� ;��,� ��� <br />Mail Addross Gily <br />Mail Address ���Y <br />'( V\ l.L� 1 1�}-� L� �. U? 1��\'�1� <br />Eleclrical Conireclor Mail Address <br />Y���tiTN E�.�u ; i�15 <br />State License Number ' <br />Proposed Use oi Building <br />Ciry <br />g _►6 -O� <br />�U�7Dg-i3/ <br />���h j 1 L� -��I ( v <br />State2ip <br />State2ip <br />Phone <br />Phone <br />�Z�J � 2,�-�? - i�"?i�l� <br />Stale/Zip Phone <br />Conhact Price of Work <br />Conlacl Person ���lan Review) <br />Description af Work to 6e Done: 1 I/ i, L" /� I'� C.% /' /s �/,%�C-1�1 J i/} (. �j Ll /�[,,.EX' <br />C�� � � ic,n �iN�=' L�»�-!� c�rn��i.c::�ZS <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />/ hereby r,ertilV fhat I have read and examined fhis application and kno�v fhe sarne to 6e Vue and <br />correct All piovisions o� laws and ordinances governing fhis typa ol work will be complefed <br />whefher speci6ed herein ornot The granting o(a pennrt does nof �resume fo give aufhonty fo <br />violale or canc�l the I�rovisions o( any other state orlocal law regu�afing construchon or the <br />performance o/ consfrucfion. That 1 am authorized by the owner o/ fh�s property to perlomt the <br />�vork lor �vhich application is made and 1 comply with the Stafe Confractors Law 18.27 RCW and <br />296200 WAC. <br />/ � ./: <br />j: ,, �-- <br />'� � � <br />��� � � �� ��. � <br />FEE <br />� <br />�u�U�j--1� i <br />