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� <br /> 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.everariwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> i� a�-- �� <br /> lI I oa �v�f���P� u.�� <br /> &�io i-o 62 <br /> PROJECT ADDRESS <br /> Ev��� <br /> C.c�Luv..tf��q j�u� INt�E?/r.'��c ��en w��/ u�y9 <br /> Owner Mail Address City State2ip Phone <br /> C�C�+�-`� �3t � B�Hk I II t� � fUp����,i wv1 • - <br /> Tenanl Mail Address � �� City Stale2ip ��Ph�ne <br /> �ir d' s 7' A 82 2 �2a <br /> Sin t ���1"fo�i . �✓�,=J�,:a.�% wl'¢ �p.�3 <br /> Electrica�Contractor M9il Add�ess City Statelzip Phone <br /> S�q��� �� o� I�b /�• "� <br /> State License Number Contract Price of Wor\k <br /> �t K Ir Sl�+-t N1�•n 4✓L <br /> Proposed Use of Bui�ding Contact Person (Plan Reviaw) <br /> Descrip�ion of Work to Be Done: ��"Sf�t �—�— � G��Cti`/�/�-(„Liu LL S�(r'�t S U� � �� <br /> J�,^t��c� U 1� �-'L [-ac� "7-u-a FFr� �'tl ti.Tvn,�.L ��+�[S <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAY:i, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certi/y thaf I have read and examined fhis applicafion and know the same to be true and �I I�� . ,-y ,2 <br /> conect. All provisions o//aws and ordinances goveming this type ol work will be completed V� <br /> whether speci�ed herein or not. The granfing ol a permd does not presume fo give authonty to <br /> violafe or cancel the provisions ol any other stafe or local law regulafing construction or the <br /> performance o/construction. That I am aufhonzed by the owr�er ol this property fo perform the <br /> work Ior which application is made and 1 comply with fhe Sfafe Confractors Law 18.27 RCW and <br /> 296. O WAC. <br /> ry%,, � , � .. / /v�� I <br /> //, <br /> i Sig ature Da <br />