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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PEF�MIT SERVICES <br />3200 CEDAR STREET, CVERETi', WA 98201 <br />425-257-8810 - FAX 425-257-8857 - www.everettwa.org <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />� 'y�<` �7t l' /j�e -;� �-�c��� �ar i�� <br />PROJECT ADDRESS <br />� - -�_ � D <br />i �� ' <br />-i <br />� � n; '� ! :�o <br />�l � /"/!I$ /7i'cti�,�'��% _ <br />Owner MailAddress City State/Zip Phone <br />Tenanl <br />Mail Address <br />City <br />State/Zip <br />Phone <br />���fli�j �"Lf'zi%��! GCC � J'��j l/J//s�?C <;%. l-i,rr%�l✓t�r5 i-✓�' �c�'ls�P �/ZS��Y$�r'_ <br />Eleclrical Conlraclor Mail Address Cily Slate/Zip Phone <br />��:4i'/sL'L � �'�' � G <br />Slate License Number <br />�� F R <br />Proposed Use of Building <br />Descripfion of Work l0 6e Done: <br />�` �E'w j-izvSc`" •� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />DE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />'� �—f � U c� <br />Conlract PrEco of Work <br />Conlacl Person (Plan Review) <br />I heieby certi(y fha(1 have read and exarnined this application and kno�v the same fo be Uuo and <br />correcL All provisions o/ /a�vs and ordinances �overmng this type ol n�ork �vill be completed <br />uhether spec�bed heiein or noL The gronfing ola pornut does nof piesume to give aufhonty fo <br />violate or cancel ths provisions of any other slafe or locallaw rec�ulafin� consVucfion orthe <br />performance ol consfruction. That 1 am authorized by the owner of this property fo perform (he <br />wo�k for u�hich application is mnde and 1 comply �rifh Ihe Stafe Contractors La�v 18.27 RCW and <br />29G.200 WAC. <br />�� /�/ <br />' � % � ;�%'� � z C %/�� <br />FEE <br />!i�lz �5�, <br />