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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.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> ICo`� l3 3�ioi�,� � .��-;- <br /> PRC JECT ADDRESS <br /> ijEl.f-IrhL ���7 �;E,t7SC � ^ �. � " : <br /> 1 l A��E � r A-r-r L E �.�} q � l � l z � l. - 't�F`r-1"l7 � <br /> Ownu� A1eil AdCresc s�.�s�r-c 4 7� ., I <br /> Ciry State/Zlp Phone <br /> I���t- a�cGK )Ccy' !3 G�L�lrr��-`� � vE��TT '�,Q `jS1 ( <br /> Tenant Mail Address <br /> ��h State2lp Phone <br /> SA�lLE�.�-� .SsCr� 17�J�I R�iILu�LA i{ vt .,✓. �li,•i�-�: Ls..� w,A `i�• �33 2�6 ��'��-S �37 <br /> EleqicalContrador MailAAtlresa Ciry StatelZip Phone <br /> Y� I�-�..)lJ_N G <br /> ���-U �LF .5 �����6 7-� �) ,J� � ��� . C) li <br /> State Ucense Number Contrad Price of Work <br /> � <br /> /Z-E-T—p� L. I R/� �'T S l,i iv D F�wca n p <br /> Prop�sed Use of Bwiding Contact Person (Plan Review) <br /> iDesc nption of Work to Be Done; _ C�:i✓,"E c;T � 7- L- �✓ � C k y5'1� v � C 1�t.�_ `, ' T <br /> � <br /> f3 i�-r -, ( l-I T Tv L(}3 C rz}-r�--� N aY C'7�N-��tS <br /> NOiE' 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 J106 � <br /> 1 her��by certily fhaf I have read and examinod fhis applicafion and know fha same to bet tnro and <br /> crorrE cl. AIl provisrons ollaws and ordinances gowming this fype o/work tvill be complefed <br /> whof ier specified herein or noL The granting of a permd does nof presume to giva aufhonty to <br /> wola o or cancel the pmvisions o/any ofhor stafo or/ocal/aw regulating construction or Iho <br /> pedc rmanco ol conslruclion. Thal I am authonzed by the owner o/fhis property to pedorm fhe <br /> work lor which applica(ion is made and l comp/y with the Sfate Confractors Law 18.27 RCW and <br /> 296.:.00 WAC. <br /> ��V_ � ,.�.� � �� � �, ` � <br /> SignaWre ate ' <br /> ' EdCa.a3-0cy <br />� <br />