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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 6 AM TO 4 PM -DEBIT 3 CREDIT CARDS ARE NOT ACCEPTED <br /> ���1-�Pw�'it aJ� <br /> PRO,IECT ADDRESS <br /> S�: '�`I�el r., \ <br /> Owner Mai�Adare�a <br /> �H � Smte/Z1P Phons <br /> ver��� � \u:�rleSS <br /> Tenant Ma�l Aeereas ��ry StateZP Phaa <br /> �G' ��Iv PC7. &o�c G,5184 `1"a«,• u wc, 9�?�16u 2S3-L-4i.S/7� <br /> Electr:cal Contractor Mail Addreas Gty S��P �� <br /> ��IJ01�F _*(„�,�"� ✓y�dD.�c <br /> Sfate Licenae Number Contrac2 ce ot Worlc <br /> �/N�(��l �1_ -B�yy�n <br /> Propoaed Use of Building Con�d peropn (Plan Review) <br /> DescripUon of Work to Be Done: T s�p� ( (�o,,.c.^ �r q Se/ 'i S�t*..� l�V�rS/��t <br /> NOTE: WIRING IN tJON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 <br /> I hereby ceRily that I have read and exemined this applfcation and know the same fo be hue and <br /> correct All provisions ollaws and oMJnances goveming this type of woilr will be cromp/eted <br /> whether specified herein or not. rhe grenting o/a permd does nof presuma to yive aufhorlfy to <br /> violate or cancel the provisions o/any other stafe or Iocallaw regulaNng consWctlon or Me <br /> work ior wh ch appl/ceNon�s�made and 1 c mply ivd�h fhe State Cont a�ctor�spLaw 18.�RCW end <br /> 296.200 WAC. <br /> �' . <br /> �� ; 7L wc��/ /- 3 � o� <br /> nature , Date <br /> ` �05t�1-Dav <br />