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�LECTRICAL PERMIT A,P'PLICATION <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 />�oqi. <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />`� 1 / ? ��.��s� �� � ✓c-/�� �- c7,�.-.�C/ <br />PROJECT ADDRESS <br />Owner <br />Tenant <br />s%/ / —' /y�/� <br />\ / � 4�"%C ( l <br />fdail Address <br />Mail Address <br />City <br />Cily <br />Stale/Zip <br />StatelZip <br />.,.,.,.. ,, 1� l�,-�- S'�c_� s4 <br /></� S` <br />'SP� -,�I <br />Phone <br />Phone <br />N�t S- <br />, �_� �. <br />EleClriCal ConUaClOf A1ail Address � � City StalelZip Phone <br />1���� � <br />il,��=�c�S`i�� Jc,x . '���� !� ��_�,.� <br />Slate License Number Contract Price of Work <br />,j��.cK!'Z �..��}-✓ <br />Proposed Use of Building Conlacl Person (Plan Review) <br />/ i <br />Description of Work lo �e Done: � .�,a r �� c; c +i�%��� /���F'� ` "� / �ro`� �� �' / ""� <br />NOTC: WIRING IN NON-DW[LLII!GS IS RE�UIREU TO FEE <br />BE IN f2ACEWAYS, MC OR tC CA�LE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 /'� /� . �7 <br />1 heieby certi/}� fhat I have read and exarnined fhis applicafion and know the same fo be Irue and ��/� � Z-(J ��� / <br />correcL All provisions oI laws and ordinances governma this t}�pe ol work will be compleled <br />�vhefher speulied herein or noL The granfing o( a pernuf does nof presumo to give aufhonty to <br />violafe or cancel the pro��isions ol any other sfafe or local law regulating construcfion or the <br />perfonnnnce o/ co{utruction. That I ant authorized b}� the owner o/ fhis property fo perlomi tho <br />work (or wl�ich applicahon is made and 1 cornply �vith fhe Sfate Conf�acfors Law 18.27 RCW and <br />296.200 WAC. <br />/ % <br />. ' _-/� <br />�,�-, -'/,�: �� / �y l / --' /�/, . <br />�. <br />