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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 /> �b 333 /9� ��< S�. 3CDG �, Su�r� /os <br /> PROJECT ADDRESS <br /> ,�. w /�s����r� �- A��.�Y cc,u.4 !, <br /> Ownef tdail Address City S�ate/Zip Phone I <br /> SA�. ���33 l9� �v�. 5��. �v� 4cr� 9°�� ' <br /> Tenanl MailAddress City StatelZ!p Phone <br /> �1oI(u�v�( �C�C1'l�r,I� l/8�� �(� I!�'15r• Kr'�ekU� Cc1•1 9f��o7� �zf ut(� <br /> Electrical Conlraclor Mail Address Ciry State/Zip Phone <br /> �o�,����3�y�u � y�, 373� <br /> State License Number Contracl Price of Work <br /> �Tf7��Vl?.4 �iLf�U�G <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Descriplion o(Work lo Be Done: � (���f�T— �""'�` ��� ��� �� <br /> X�lc� 7��,t1�7". <br /> �L�c17��,�t s�/�u�r� To S��K� r'r �l��;uG-� <br /> NOTE: WIRING IN NON-DVJELLINGS 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 certily fhat I have�ead and ezarnined fhis applicatinn and knmv the same fo be true and <br /> correcf. All p�ovisions olla�vs and ordinances govemmg fhis type of woik will be completed <br /> �vhcther specilied herein or naL 7he granfing o(a perrnd does nof �resurne fo give authority fo <br /> violafe or cancel the provisions ol any olher slate or local la�v regulatinr�constmchon or fhe <br /> per/orm�r��•ol conshucfion. That 1 am authorized by fhe o�vner o/this proN�rty fo perform fhe <br /> work lor which application is made and I comply wifii the Stafe Contractors La�v 1827 RCW and <br /> 29G200 WAC. � <br /> ��- (o,��(�'7 <br /> gnaWre Ca.e <br /> � L 7!C' -���� <br />