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ELECTRICAL PERMIT APPLICAl'ION <br />CITY OF EVERETT PERPJIIT SERVICES <br />3200 CEDAR 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 <br />�82� ���G2� w��-� , �'�� 9�20� <br />PROJECT ADDRESS <br />Owner <br />,-� 23�0 <br />Mail Address �r� <br />City <br />�� <br />Stale2ip <br />�i �� ��� <br />��i/��2a 2 <br />Phone <br />�� _ _ 7&zslsy���ea� ?/Ay ��arr Iv/�- �eyzc� -_ <br />Tenant Mail Address City Stale2ip Pnonc <br />6rits�. <br />Eleclrical Conlraclor h1a�l AddreSs <br />i��P�� �py����� <br />Slale License Number <br />�U R��G <br />Proposed Use of Building <br />City <br />i�a33 <br />Slale/Zip <br />IZGI�� <br />Conlracl I rice o( Work <br />Contacl Person (Plan Review) <br />Phone <br />Descriplien af Work �o �c Done: f-1 (l l] G✓�✓ 2�' /� �cY�l/�C� �� �A�o-il� _ <br />�✓ S <br />NOl'E: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWl1YS, MC OR AC CADLE. <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />1 hereby certily tliaf I 6ave �ead and examined fhis applicnfion and know the same fo Ue f�ue and <br />correcf. A"provisions olla�vs and ordinances gnvernm� (his type o! work will be complr.fed <br />whefher specilicd herein or noL The granling ol a pennrt does nol ��esume fo �ive aufhority fo <br />violale or cancel lhe provisions ol any ofher sfa(e or local law regula(ing construclion or fhe <br />pmlormance ol cons(ruclion. Thal 1 arn aulhonzed bq the owner oI this property fo perlonr� fhe <br />�voik lor �vhich applir,afion is made and 1 cornpty with Ihe Sla(e Confracfors Law 1Q.27 RCW and <br />29G200 WAC. <br />f=E[ <br />/I��-Z(�Z <br />