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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 B AM TO 4 PM <br />`�i '� '' � 4 <br />� � � '� �. 5 � L. o�l ' <br />PROJECT ADDRESS <br />1�.OSf �n t�st j J loti nlariniP 1)r�� <br />Ownef Mall Mdrou CMy <br />Tenanl <br />Mell Addreu <br />Clty <br />ShtaZp <br />StatslZip <br />y-n�o7 <br />C070 5-D� <br />7� <br />Phona <br />Phono <br />, 7 <br />i! �� r„ �.�rr I�,C 1�.�. L'c�'� 1��(G�� /';�-li C�(��� �(%/f ��jJ` (c <br />Electr¢al ContrOctor Mail Address Clly Snh2ip enon� <br />✓1C. ��,�. �.�1�� <br />;, . ,� ��T ,t <br />(_ I 1: <br />State License Number <br />,; <br />v�oposed u o� eui�amg <br />Desaiphon of Work to Be Done� ! f• S C'� �� � C! <br />.,r <br />NOTE WIRING IN NON-DWELLINGS IS REOUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERETT LOCAL SALEB TAX CODE IS J106 <br />Contrad Pnce ol \lbrk <br />�11q,� ���; �� <br />Conhci Pcrean (Plan Review) <br />I M1ereAy certily fhef 1 heve reed end exemmed fhis epplkehon end know fhe seme fo be Wa and <br />coiracf All prov�.vons of lews end artimencee povemmg fhrs type o! urork wdl be oomplefed <br />whofher specA�ed herem or not. The grenhng o! e pemrrt does notpra�me fo grve eutlionty fa <br />violete or cencel fhe pmws�ons ol eny ofber sfete or bcal law regulsfmg ronstiuc6on or ths <br />peAom�ence o! conslivcfan. Tlref 1 em euthonzed by fhs owner o! fhis property fo perfoim fhe <br />work Ior wh�ch epphceUon �s mede and I mmpty wRh the Stefe Confroctors Lew 1827 RCW end <br />296 200 WAC <br />, l.: L ., . . _..__ � � � � 1 <br />Sipnolure Dalo <br />FEE <br />� - i r t , <br />1, �' ` <br />