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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25?-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� 1 '� 1,�; . �n `,i �� � j�o �� << <br /> PROJECT ADDRESS <br /> � 1 L�L��.\�Cl � ------ — --- <br /> p�e�� Mail Addmas City SlaleZp Phonc <br /> Tenant Mad Atldress City StdeZp P�'R <br /> C��� � 1�-� ���� Cov,s1 , lo� o ��� I1 {i. Gvc Pe� l1�,���, 6/` �17��4 5�3 -2?`I-1`lo <br /> Flec�ncal Contrector Maii Address CM. State2ip P1rone <br /> ./� <br /> N�� � , � �435 <br /> �� < � L=L�l- C �4>�, — — <br /> State Li�^nse Numher Contract Pnce of Work <br /> C'E'llv�l�i� s, � �_ _ Iav�dMa�-c l� <br /> Proposed Use ol Bmldmg Contact Person (Plan Review) <br /> y,���- �-IR�- 4 � � K <br /> Descnption af Work Io Be Done ��L ��)� 1 1 �` L� <'-_lZ � L� 11 �'��� w H U 9'� <br /> a— /' 1� <br /> v` 1'1U �' � � �Co�) ` — (� �1� � IOG 6lV�n�� �1 'n r� QY 'T� >U.� (,�ca��C ( • -- <br /> �jl,l �� _����� ', i� 1 �� - I 1 c� . <br /> — � <br /> NOTE. WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABLE � I G, ` � ? <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 hereby certA��Lhaf 1 have rraA and e+ammed fhis appOcahon and Anoir the same to be frue and <br /> correcf All prohsions of laws and ordinances gooemmg fhis ty{>r ol�vorM �rJl be rnmplefed <br /> c;hether spenhed herern or not The granhng o/e pen,vf Aoes nof piesume fo grve a�thonty fo <br /> wolete or cancel fhe p�ovisions ol any ofhe�stefe or lowl law regidatmy constn¢hon o�the <br /> i �x�Aorrnanre�l consfruchnn 1�lie�I am aulhomed by fhe owner o!fhis propert y fo pe�fomi the <br /> i ���ork lo� �vhich ap�6ca �s nraAe comply�vRh the Sfnte Conhacrors I.arv 78 27 RCW and <br /> 796 700 WAC <br /> � �� OZ (� S _ <br /> . —...._ Siyr�atwc__ --_—____.____ ate <br /> -(. �-� � , p� k? ast' Fc'e <br /> � I. S3 I� � `/o x � �, y�5 <br /> —�-- <br /> 1 I �II, . s- ? [ EC � � �„� � � •1 <br />