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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERcTf, WA 98201 5 �.3 p`D� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> �ogo �-�b <br /> APPLICATIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> IC,�G-1 �--z,�ta, �,/ , �F <br /> PROJECT ADDRESS <br /> -� <br /> / �..� :,G <br /> -�,�u�Y � �-�;.x��`� l`�I«-, � � � - C,�'v� <br /> Owner Mail Address Cily Slate/Zip Phone <br /> Tenant Mail Address City Stale/Zip Phone <br /> 1�(li_1'1 �����-1 L'��Y �L �,u L«�� ��-1��} Zj�' -'-���r'I� <br /> EleClrical Contraclo�- M2il Address City SlalelZip Phone <br /> � `�\LL1_L �%'1=� k�VJ.� i\J,) <br /> State License Number ' Contract Price of WorY, <br /> Proposed Use oi Buildinc� Conlact Person (Plan Review) <br /> Descriplion of Work lo Oe Done: � - �" �; � '`�1 J� L( fJ 17 LJC.(�('�-U U�V�D )1_1v��� •S!?J��l/ (,� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE ��- <br /> � �� �� � <br /> I CITY OF EVFRETT LOCAL SALES TAX CODE IS 3105 ��.��y._ ���� <br /> I hereby certi/y Iha(I have read and exarnined this ap�Nication end kno�r the same to Ue true and <br /> correct All provisions ollaws and ordinances goveming fhis type o!work will be completed <br /> whefher spea(�ed herein or nol. The granting of a pernut does not resume fo give authonty to <br /> vrolate or cancel Ihe provisions ol any other slate or local lau�reguPting construction or the <br /> perforruanc�v/cunsliuction. That 1 arn authorized by the o�tiner o(this property lo perfonn fhe <br /> work lor which epplicafion is rnade and 1 comply�vi(h the Slate Cont�acfors La�v 18.7.7 RCW and <br /> 29G.200 WAC. <br /> ,si / � �� 4 <br /> n,fla��u�e'- oat - �l O - v �, <br /> / <br />