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ELECTRICAL PERMlT APPLICATION <br /> CI'TY OF EVERET i PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATION� ARE ACCE�TED FROM 8 AM TO 4 PM <br /> L J�� ��IhV�C� 1-'\�C <br /> PROJECT ADDRESS <br /> / � �� <br /> I U�i� <br /> 1�`�n \�J�uJ v,� \`�i�v J �v� 1�v��Lu x ��1z5 � 3 -�i - � <br /> Owner Mail Addross Ciry State/Zip Phone <br /> Tenanl A1ail Address City State/Zip Phone <br /> ��,���-� � _F�u��� , - c �� �s�.�. �y��1sz- U �a� <br /> Electricai Conlractor Mail Address City Slate/Zip Phone <br /> \ `���� `"�� 7 �`, Contracl Price oi Work <br /> Slale License Number <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion of Work�0 6e Dona L'-� / �' � N r �%� �'r � i /��=N Tll�(� l� U P�-�=X 1 <br /> 7f, 3 � � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> �_, <br /> BE IN RACEWAY5, MC OR AC CABLE. � I�� <br /> CITY OF EV[RETT LOCAL SALES TAX CODE IS 3105 G C <br /> 1 hereby certily that 1 have read and exarnined fhis application ari know fhe same to be true and f�V"��'� 1�'J <br /> correcL All provisicns ollaws and ordinances governmg fhis tyE�of work will be comp/eted <br /> whefher specified herein or noL The granting o(a pernut does not presume to give authonty to <br /> violate or cancel the provisions of any other state or local Imv regulating censtruction or the <br /> perfonrance o(ca�sfruc!ion. Thaf I am authonzed by fhe o�vner ol th�s property to perfomi the <br /> work!or which application is rnadc and 1 comply�vith fhe State ConUactors Law 18.27 RCW and <br /> 296.200 WAC. <br /> / i , <br /> / � �, 3� - l� � <br /> 7 �� •,� `' <br /> �'9nature '/ --� Date <br /> _�—J <br />