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/ <br /> I-- � -- <br /> ELECTRICAL PERMIT APF'LICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA P8201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> % (c� �= y ry �S r o�r cC �./ <br /> PROJECT ADDRESS <br /> PIC{ C 2.1:'���l.�l LC � 5 /CO �7� � M1r �i" , � ZOC�— �i /� l¢k S '��f'� <br /> Owner Mai Address Ciry State/Zip Phone <br /> L/7CGK /.�C �-�1 �� �UC Fi /J�:,/�.�4-6. CVG✓CI� [(/� <br /> Tenant Mail Address CI State/Zip Phone <br /> �JS- � <br /> ,C�arr� ,1/�o�v c�, 7yao ✓-/.a-rrl�sc�✓ i'�X Ecr�.!{- C✓( `>Flzo3 77L• Q�3Y <br /> Electrical C6nlractor Mail Address Ciry State2lp Phone <br /> _�r_ rr.r,t �. 5�.5"[ 3 $ lG�o. nU <br /> State License N ber Contract Pnce of Work <br /> S�e��. ��lo,y� l, <br /> Proposed Use of 7widing Contact Person (Plan Review) <br /> Descripticn of Work to Be Done: �S %F l( l/) S r./" �,� �¢,v �.�,t,r c L� �f a- i <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 <br /> I hereby�ceRify that I have read and examined this application and know fhe same fo be We and <br /> correct. All provisions of/aws and ordinances govemmg this type o/work�vill be comp/eted <br /> whelher specif�ed herein or net. The granting of a permd does not przswne fo give author�ty fo <br /> violate or cancel the prowsions olany other state or locallaw regu/atiny construclicn or the <br /> peAormance ol construchon. That/am authorized by the owner of th�s property;o peAorm the <br /> work for which application rs made and 1 compty�vdh the Sfate Contrac;crs Law 7 f1.27 RCW and <br /> 296.200 WAC. <br /> � !� /�� �C4�-7"05� <br /> Q�ar�r� Date - --- <br /> �crStG�0� <br />