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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 /> --7 � ci �' TL. �-�^- <br /> � - 1 / � `J �1.�� �lJCS / <br /> IF�ROJECT ADDRESS <br /> �f<—<:.�..._� l )=,�/ta� ���/i' ���/fv� ��nsf �vr.�� �-�.%� �l ��2�J <br /> Owner Mail Addres3 City Rtale2ip Phnno <br /> Tenanl Mail Address City Stalel7ip Phono <br /> VJ rf -�-�'/l �c�Sf 5 L f; vi'..a!`� Gvif� `js�-Ji�i Y.LS s;�S :Sf�( <br /> EleclricalCONraclor MailAddress City Sla'e/Zip Phone <br /> �iy�r� `.L 1� :�: O.�.J C�� �llGG <br /> Slale License Number Conlract Price of Work <br /> �� l <br /> t <br /> Proposed Uso of Buildirg Conlact Person (Plan Review) <br /> Desr,riplion of Work�o�� Done: - • .��_ .s' S«,. � i 1 I�FcF �4�— �����f _ __ <br /> � — <br /> !/�l� �c� �� � !". r✓cc.� <br /> r <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SAIES TAX CODE IS 3705 <br /> l lieieby certify!haf!have read and examined this applicafion and know tho same to be fr�o and <br /> correcL A/l provislon;o(la�vs and ordinances goveminc�this type e(work will be completed <br /> �:hether specilmd herein or nof. The gr'anting o/a pennif does not presumo to give authority to <br /> violate or cancel thc�rovisiuns oI any other stafo orlocal law re�u/eting construction or fhe <br /> perform.ance of cons(ruction. That 1 am aufhonzed by the owner o(fhis properfy to porform the <br /> unrk(or�vhicli applicafion!s mac'e and 1 comply tvifh the State Confracrors Law 18.27 RCW and ,� <br /> 296,200 WAC. � <br /> r � / � <br /> � • <br /> �- <br /> � � -'�C�``-- �1�6��—�-.�— �. —/��— t'—olli '- � I <br /> SignaWr¢�� Dale , <br />