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� <br /> E�ECTRICAL PERMIT APPL�CATION <br /> CITY OF EVERETT PERMfT SERVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 � —U '" � <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org ��zp�(— O� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1D I b \ I 1'�N A )�� ST� A — ` <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> L(�S^ <br /> F �o ..��,� io�o i t�1r�+Ft�� � A I Fu�ftrr 1.+�� �i8�� 33S -s'f� <br /> Tenant Mail Address City Slat=/Zip Phono <br /> 'PP4��t� �ic.0 TRF�—roti� `l�`�2 ���r�JnoS W�n•i u172 1_OMunr�s lrA- cct"..ozc� <br /> Electrical Contraclor Mail Address City Slale/Zip Phone <br /> 75�6 ^49�S - '>x''19 <br /> k'�'l� � �F S:�z �l�SL� <br /> Stale License Number Contract Price of Wurk <br /> �iJ �+Ln.9-'H <br /> `�j(v�;`^ a f L,�f1l_ <br /> Proposed Use o(Building Conlacl Person (Plan Review) <br /> Descriplion of Work lo De Done: � �S"1 P�` � C(`l �l h-�c—( "5 l�� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 ,� �I ��/ <br /> 1 hereby certify thaf I have read and exantined this applica!ion and know the same to 6e true and � � 2(/`"� <br /> correcL All prov�sions o(la�vs and ordinances goveming ihis type o(work will be complefed <br /> whether specified herein or not The�ranfin�o(a permd does nof resume fo give authonty fo <br /> violato or cancel the provisions ol any other state vr local faw reguPfing construchon or the <br /> performance o(construcfion. That I am aufhonzed by Ihe owner ol this prope�ty to perlorm the <br /> work lor whic lapplicafion is made and 1 comply wifh fhe Sla(e Contractors La�v 18.27 RCW and <br /> 296� A ` <br /> � `, <br /> ( ' � ,1 �� �-z <br /> Signature D le <br />