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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA�8201 � � �� <br /> 425-257-8810 - FAX 425-257-P�o7 -�..^•:.evereltwa.org ` 9' <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM C/������ <br /> �� lt C- =c � �vE'ive-f{; �6'L" ( <br /> � <br /> P OJECT ADDRE S <br /> Owner /`� i Maii Address City Stale/Zip Phone <br /> (�OS�' /J.�cc c� <br /> g1�.,.���A-t'� I's�� l�,c•-+��c .�ti ��.uc-t�, 9�� � 2..,(--z�u -�d65 <br /> Tenant Mail Ad ress City Stale/Zip Phone <br /> SO s /9�0[, H�,, r9 Lv„��W�.,,� l.�A �Eo36 �77-�� Z <br /> ��-�''"' , I ° <br /> EI clrical ontra or Mail Address Ily Slate/Zip Phone <br /> S�-=2—D S 9 �3 �-?q �"`1�� a— <br /> Stat License Number Contract Prica of Work <br /> Proposed Use of Duilding Conlact Person (Plan Review) <br /> L�,<i,�n I L-P{�rs cr (-�Ce_G�a, <br /> Description of Work to Da l)one: )'�GII � �"{'�� ��� �l <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX GODE IS 3105 <br /> 1 hereb��cr.rtily thaf I have ru�ad end examined Ihis applicafion and know tho same fo he truo and �I vU� � � �� <br /> correr,t. 1111 provisions o!laws and ordinances govenung this typa ol work will be complefed <br /> whether speci�eA herein or noL Thc granfing o/a pennd does nofl�resum�to oive euthonty fo <br /> violate or cancel the provisions olany otlrer sfafe orlocallaw regu afing consfrucfion orfhe <br /> perlomiance o/conslrucfion. That 1 arn aufhorized by fhe owner o/Ihis property to pedomi fhe <br /> work!or which applir,ation is made and 1 comply�rith fhe Slafe Contractors La�v 18.27 RCW and <br /> 296.200 WAC. <br /> �` . �-��_�=�Z �_ �-�; -i� <br /> �_ _ _--. <br /> slynanim oa�e <br />