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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETi', WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLIClITIONS ARE ACCEPTED PROM 8 AM TO 4 PM <br /> ll � l9 �` 9 �t"� � �� � � <br /> PROJECT ADDRESS <br /> n <br /> L+�l'Y/�iN�,� S� Z��o'�,Ci"2at,v�.l !'� /_��� lU3—`I ,f/�!�(on-tU/! � �v'� <br /> OWner Mail Address Cily Stale/Zip Phone <br /> ��I Sf�t r� �N��L{�!�f-�GE <br /> Tenanl Mail Address City State/Zip Phone <br /> D , R�oo�uG �'1��-2r� ios� - � �`k P� S�v L�iU,�wvo� . (�� l�a&�� <br /> Eleclrical ConlraClor Mail Address Cily�� S ale/Zip Phone <br /> �R � ov � �o �� ���� � -��' � ° � a-���� o�> <br /> Slate License Number Contract Price of Work <br /> C17%l/C� 1'l''/�-C C � <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> Descrip�ion o(Work to Be Done: �✓L�w /C �G�T/rCL L�j (J G(/I�<<T •� 7 � �K /' <br /> / i <br /> — ,l l9� �.Z'�`''�ff <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certily that I have read and examined this application end know the same to be true and <br /> cor�ect. All provisions o//aws and ordinances goveming this type o(work will be completed <br /> whether specifier!herein or noL The granting of a permit does not resume to give aufhonly to <br /> viola(e or cance the provisions o/any other state or local law reyuPting wnstruction or the / <br /> �o�k fo��yj�e of �p�sfat or��s n a'de ar�id�l cotmplye�fh�the�Jfate CoritractorsPLa v 18.27 RCW and <br /> 296200�C ��� � <br /> � �. _���C'.�� � 1D/�D� � <br /> .aWre / Date <br /> � G <br />