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ELECTRICAL PERMIT APPLICATION <br />GITY 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 />� 4� �( � Z �., ,�t',� t— <br />PROJECT ADDRESS <br />G.. `� - 11 <br />� �IG6-OU� <br />� -, . '/ <br />�- l l . L l" r' i S J � ��— �� ," <br />li, r�' �� 1 1 % �'. �_�:cc,�_��� �'�'i �1�5'"�`=�—,. <br />Owner Mail Address Ciry StateJZip _{,� �_ P�� <br />����'_�i �� .. <br />Tenant <br />1 <br />�.. � �_�. . <br />Eledncal Contraclor <br />�: " . _ �. <br />Proposed Use af Building <br />Mail Address <br />Mail Address <br />� t� , <br />City <br />StalelZip <br />i — <br />t , :.(1' r ,:l_� ,, 1'. 1 ' <br />Phone <br />�('�ity— StatelZip Phone <br />,/ �:;� `{y�� 'I <br />.</Z7�IJ� ��f ��i:;: r:;' , , .� <br />Conlrad Price of Work <br />Contact Person (Plan Review) <br />Description of Work lo Be Done: �V �� ti � - ��,�titi' �' ��� � ' �� '� �i � C �.'� t � � T� I C' <br />n; , � , , . ,.{::, ;_ � <br />. �_ ._; ; �, i=:: .. <br />NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CiTY OF EVFRETT LOCAL SALES TAX CODE �S 3105 <br />1 hereby certily that 1 have read ond examined this applicotion and know fhe same to be true t+nd <br />correcf. All provisions o/ laws and ordinances goveming this type o/ wak will be completed <br />whelher specified herein or noL The granfing of a permd does not presume to grve aufhonty to <br />violafe or cancel the provisions o(any other sfate or local law regulating catstrucliai w the <br />per(ormance ol const�uclion. Thaf 1 am authorized by fhe owner ol this property to peAorm the <br />work lor whrch appOcation �s made and I comply with fhe Stafe Conlrac(ors Lnw 1827 RCiN and <br />296.200 WAC. ��( � 6- U y 6 <br />.,� � � ,, <br />, .. . r-. n .. <br />