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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERViCES <br /> 3200 CEDAR STREET, EVERETT, WA 98207 <br /> 425-257-8810 - FAX 425 257-8857 -www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> � 2 C� �'� W CP� � vi l � <br /> PROJECT ADDRESS <br /> C1�'l�� (v � �- <br /> � �� � Z i e �., i l��,..:, i'_ �� E � � �C rt � i,� ra 1 5 Z�� '� <br /> Owner Ma�lAddress CiIY Slale/Lp Phone <br /> �^IC.C. ,) b�, �� , 1�Iti��' <br /> Tenent Mail Atldress Gry Sie�erz�p P�ooa <br /> �"� �l� r'� C �,���L < .�5 �/L � Sn .1v1�•l' �� v � ) 1t �14 �� Fl � aCl i <br /> Electncal Contractor Mnil AAeiess C0y Sta1e2i0 PhoMr <br /> ' ��� �' n� L c� v ?' `i(i �l� c �S°", c, <br /> Stale License Number Conirac�Pnce ol Work <br /> ���1r� ,k 1c(..'_. _ , �, Ci,�i� � <br /> Proposed Use ol Owldmg Contad Peison �Plan Reviewl <br /> Descrip�ion ol Work to Be Done �14�_�_ �_� , �� l � i�.� _ L� l� � L <br /> � � ._.�..�-- � � �L� IL� � �C-�� Cr����� nr� S . S � c � �.� <br /> �\C _� L " � � — <br /> NOTF WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE <br /> GTY OF EVERETT LOCAL SALES TAX COOE IS J106 - <br /> I hnmby cnrlAy fh,il I Iravo iesAFlnd oxxmm�d Ilrrs appLc��Uon and know fbo samo In tw Inie and �- � I 1 � � �-� <br /> <smnr.f All provisrnns o!laws anAo�durencros ynvarmrrq flus ry!ro o!worM will bo cnniploted <br /> whnfho� s�H�cihoJ hernin or rrot The grenhng ol n pornirt dnos nol �msunre fo gi�e authonty fo <br /> vrol,�fc or cr�nrnl fhrt(nowswns ol nny ollrer sfafn o�la'�al law r�gufafmr�consfniclron or fho <br /> porfnnnanr.o ol construcfan Thal 1 t�m eufhnneed hy flro ownm o!Ihie�p�operty M porin�m Ilro <br /> work lor whn�b apP���'������is nixk+anA I comply wrth Iha Sfafo Contrnctors Lnw 18 27 HCW and <br /> 296:00 W'AC. �7 <br /> �--, � / -7 <br /> �, � 4 I l�_����_ �/ � ��( (l C �) <br /> S�qnatine � alo <br />