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ELECTRICAL PERMIT APPLICATlON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, `NA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ����� — «�\ �� SL <br /> PROJECTADDRESS <br /> OWn9� Mail Address Ciry Statc/Lp Phone <br /> 1.`\ F1c �- �- ��wr» \1G��1- ��i���,,�SC -L'vr: � <br /> Tenant Mail Address Ciry Stale/Zip Phonc <br /> �'�, ��e.� \�,.,' Pv'�.,-k�3�i3Z S�a���' LU�. �t`-'�Zy zeE- Z3� s�cc- <br /> ElectricalContractor MailAddress c�ty state2�p Phona <br /> / <br /> J�I � -�' - <br /> ��RtCNI�RG��'�NR � �1e� <br /> State License Number Contract Price of Work <br /> i <br /> l�-',�w�ss ��.-�� , -� ��.L���';� <br /> Proposed Use of Building Contact Person (Plan Revihw) <br /> � tx� ` r <br /> DescriptionofWorktoBeDone: X ��-- ����-.J (i\�'U�C/'S �f-� ��� ��-XbS ��1/S <br /> ���� f q\AfW� �V��Yk1 <br /> NOTF_: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. 1 '7 � ���J <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby certily thef 1 have read and exemined fhis oppliwtion end know fhe same to be trur and <br /> conecL All piovisions o/laws end ordinences govemmg th�s type o(wodc wilf be complefed <br /> whefher speci(ed herein or noL The grenting o(e p�i�mrt does not presum�a to grve eufhonty to <br /> violate or cancel the provisions o(any ofher state or ncel law regulefing cor.struction or the <br /> performance o(construction. That I am authonzed by the otvner ot this pro/�dy fo perform the <br /> work(or�vh�ch epplicefion is mede and 1 comply with h:e State Contrectors Lew iA27 RC W and /� <br /> 296200 WAC. v/'/, <br /> ,� � �� Q ���- �/ <br /> �;� -� �� <br /> gna ure Datc '/ <br />