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ELECTRICAL PERMIT APPLICATION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 GEDAR 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 �"�y �� 7 <br />�`�,�Cr /����,..� �� SF L��,:r��f <br />PROJECT ADDRESS <br />�o� <br />Owner <br />Tonan! <br />sW <br />ALiA nddiuss <br />Mail Address <br />CI�y <br />Cily <br />513�C'ZI�1 <br />Stalo/Zip <br />E=070/-/Z Z <br />Phone <br />Phono <br />Ll�l I•/«.�,2�'c S�G•o/ ClirnnKvll�'.Vl� ��/ /i�v��%1�e L�p1_ 96;i�S <br />flodric�l Conlractor htall Address Gty Slata2ip Phone <br />Slalo Liconso Number <br />I � I <br />�iY�r� ��rjr�il� KfSi�l.�•�1��. <br />Propo ed Uso of Buildmg <br />� �, �, - <br />Contract Price of Work <br />(�,�c Lw�.�S f.�u��S I 6 fiss o <br />Conlact Person (Plan Roview) <br />Doscription ol Work lo (3�� Uon��: �(���f i 4' ��- .S���j�_ """ �� e� 5� �� `"� �� _ <br />J <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEW�YS, MC OR AC CAEiLE. <br />C.ITY OF EVERETT LUCAL SALES TAX CODE IS 3105 <br />I hereby c�rfily fhaf I ha�r. read and ex�vnined @�is npplication aand kno�r Uie sanre fo be 6ue �md <br />correcf. All provisions o! laws r�nd ordinances povemaic� fhis type of �vorA �ti�dl bo comploted <br />�rhefher specilicd herem or noL The grantinr� o! n ponnd does nof vesume fo 9lve aufhonty lo <br />violnte or cnncel fhe provisions u! ony ofhv� sfnfe o� locai law regulnfing cons9uctron or tne <br />perfornwnce of cnnsfruction. Thet 1 mn aufhorired by the owner o! fhis property fo perlornr Ihe <br />woik Irn which applicnfian is madn t�nd 1 comply wifh fho Sfefe Confrncto�s La�r 1 t3.27 RCW nnd <br />296 200 11'AC. ' <br />, l J�'''.:— t.,.�...� ) _ ��)� U r'__ <br />Siunalwc Uale <br />FEE <br />� l� l (..i� �✓( � <br />