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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 �J � �-�'��Z <br /> 425-257-8810 - FAX425-257-8857 —www.everettwa.org _��S ��S-� <br /> G— <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � ( 1 I � `1� �� S� <br /> PROJECT ADDRESS <br /> ��L�e��� Phone <br /> Owner --� Mail Address City Stale/Zip <br /> �L� [(t,�iC l��-����- ) i 73I ► ��=r1-�� S�`G �vf'-�'-�'�-f- �(�r4 9�Za r <br /> Tenant MailAddress Ci�y /jZs'�7`� .St�le ip _ Phone <br /> —/ 2S� <br /> ��P ��l � � � P_(An �S,i,�i .S� ��-I-Civt� �7�(�O'�-1-/1�11.L'S�iri �l� �Gt�p-P;tf- !�1� <br /> .r , <br /> Eled�i�acto� ail Addre City State/Zip Phone <br /> �' �� r � � ��SL� `� lOr <br /> State License umber Contrad Price of Work <br /> /- ���f � � <br /> � �\�11 6')\ (,�l C C�,1' '�`_'_ �./ - ���/ <br /> Proposed Use o(Building Contad Person (Plan Review) <br /> [ /' �?te�P sti'� <br /> Descriplion of Work to Be Done: �i}� ' �" L��'�' -- Ci , — � <br /> � <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED r0 FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � /", • O� <br /> l/ <br /> CITY OF EVERETT LOCAL SALES TA7(CODE IS 3105 r <br /> I here6y certily that 1 have read and examined this application and know the same to 6e frue and �I Z O�' I/� <br /> correcL All prowsions o/laws and ordinances govemmg this t�pe oI work will be completed <br /> whefher specified herein or noL The granting ol a permd does nof resume to give- ^�bonty to <br /> violate or cancel the provisions o/any other state or local law reguPting construction or(he <br /> perfomiance of construction. That 1 am authonzed 6y the ownero(this property to pedortn(he <br /> wodc!or which apphcation is made and 1 camply with the State Contractors Law 18.27 RCW and <br /> 296.200 V�A <br /> I j � �� � <br /> ��� � �� / � i <br /> ature D te <br /> �� <br />