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ELEGTRICAL PERMIT APPLICATION <br />CITY OF EVERETI' PERM!T SERVICES <br />320U CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everattwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />S"10� �"}'V' �v� YJ � Lo f�o � C>1eri�Ur�od Ctxa-, <br />PROJECT ADDRESS <br />�.C_ �,oYly1-VU.C�'10V� 1�MF�# U50(o ?s zs �^''J��w°"I � Ev2�'e.k1,Wa•�'62111 �iQS� Za3 SBSz <br />Owner Mail Address Cily Slate2ip Phone <br />Tena�; <br />Mail Address <br />City <br />Slate2ip <br />Phone <br />�o.x,ne.1� E� �vu�\�� �-,�y q��A-ue,�J�., L�.�k �s,Wc� q�a2sS uzs33s��oo <br />Eleclrir,al ConUactor Mail Addrass Ciry Slate/Zip Phone <br />����.n1 E.rcZG�$ Vv� �r- <br />State License Number <br />�� Q <br />Proposed Use of Building <br />Description o( Work fo Be Done: �QN�� �W�'C �a�.Q� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCA!_ SALES TAX CODE IS 3105 <br />� �� UO <br />Contract Price of Work <br />�–j�\\ — �aS "2�-�"i � SBGa _ <br />Contacl Person (Plan Review) <br />I heieby certily lhaf I have read and examined this apFlicati�� and know fhe same to be true and <br />conecL All provisions o(/a�vs and ordinances governin,q fh type ol wark wil! 6e complefed <br />whelher specdied herein or noL The granting of a pennit d� �s not presume fo give authority tc <br />violate or cancel the provisions olany other stafe or local la�v regulating consfruction or the <br />peAormance o( construchon. Thaf 1 am aufhorized by fhe o�vner o1 this property to peAonn the <br />work lor which applicafion is made and I comply �viih the State ConVactors La�v 18.2� RCW and <br />296.200 WAC. <br />v �' <br />�5.�- \`� � O� <br />FEE <br />L �'�: 1C, I�j� <br />