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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMlT SERVICES <br /> 3200 CEDP.R STREET, EVERETT, WA 98201 �( �-� 3— �q <br /> 425-257-8810 - FAX425-257-8857—www.evereV�VpRrg L—�� y.,p(3 <br /> APPLICATIONS ARE ACCEPTED FROM Fi AM TO 4 PM <br /> Iv21? I�.�k AUC S.._�= 5��-�F (� ( <br /> PROJECT ADDRESS <br /> goekeotio� ey 1232v S`C'-=AUE 5E �ue�� l.�(}- �t£32c�F�-SGoa <br /> OWnef Mai{Address City SlaleRip Phone <br /> C�aS� l�2�7 i�� av� s ��i�, �v-er� 1,.� (-�- 9 �;a�9 - �r266 <br /> Tenant MailAddress City State2ip Phone <br /> (Me�.�rScyyf ad�� 2G0� tl w7 Q� S . Y'�ou�l �/gK�ti �'.'tt' 18��3 ��iU-Y2��-l32 <br /> Electriral Contractor Mail Address City State2ip Phone <br /> Me�.�rs fb (2C � �.�o��- <br /> State License Number Contract Price of Work <br /> ��k c��i� �Y.� � <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work ta Be Done�. �e�'�� � ���� J C L�� <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certify thaf I have read and examined this applicafion and know the same to 6e true and <br /> conect All provisions ol laws and ordinances goveming this type ol work will be completed <br /> whether specdied herem or not The granting o�a permd does not presume to give authoriry to �, <br /> violafe or cancel the provisions ol any other stafe or local law regu/ating constroction or the <br /> performance ol construc�ion. Thal I am authonzed by the arner o(this property to perform the <br /> work lor which application is made and I comply wrth fhe State Contracfors Law 18.27 RC W and <br /> 296.200 WAC. <br /> ��� �; ��� 3�� � � <br /> Signaturc U Da�e <br /> EG�tU�l�lu3 I <br />