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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CtDAR STREET, EVERETT, WA 982J1 <br />425-257-8810 - FAX 4�5-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED F9tOM 8 AM TO 4 PM � <br />�o�v�-o`1`i <br />_ /.�Jik �s � • ST" <br />PROJECT ADDRESS <br />l'`/sY�e6�2 ��T r'�'L.A'1 i S9n1c.� <br />Owner Mail Address Cily Stale/Zip Phone <br />Tenanl <br />C= /�C <br />A1ail Address <br />Eleclrical Conlraclor Mail Address <br />Ei� � � - " r,� <br />Slate License Number <br />'`FsSY) ,�i %n <br />Pro;�osed Use af Building' <br />Ci1y <br />City <br />Slate!Zip Phone <br />�,�6Z �� w�- sv�� <br />SWte/Zip phone <br />Conlra t Pri�f'Nork <br />� - C}-�� �6'3-66�� <br />Conlact Person (Plan Review) <br />Description of Work to �e Done: ^r��� �a L�' Q(�c..�� ��Q i� <br />NOTE: WIRING IN I���N-DWELLINGS IS REQUIRED TO <br />BE IN RACE�iJAYS, MC ORAC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br />1 hereby certily Ihat 1 have read <br />correcG All provisions olla�vs c <br />whefher spealied herein or nol. <br />violate or cancel the provisiens <br />per/onnance o/consfrucfion. T <br />work lor �vhich application is m� <br />296.200 WAC. <br />this epplicalion and know the same to be true and <br />goveming fhis type o( work will be compfefed <br />�( �� pernu( does nof presume fo give authonty tc <br />ife or local law regulating construcfion or fhe <br />ized b}� the owner o! fhis property fo perlomi the <br />y with fhe Stafe Contractors La�v 18.27 RCW and <br />-�a�.i , lCl, �J��,/ <br />FEE <br />/� <br />���� � ' �f <br />