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� <br /> -� <br /> ELECTRICAL PEI�MIT APt�LICAT00N � <br /> CI'TY OF FVERETT PERMIT SERVICE� <br /> 3200 CEDAR STF'EET, EVERETi, WA 98201 <br /> 425-257-6810 - FAX 425-?57-8857 -www.evereltwa.org <br /> APPLICATIONS ARE ACCEP7EU FROM 8 AM TO 4 PM <br /> , SI _I. <br /> , ; . , � � , ;�. ,_ �' <br /> PROJECT ADDRESS <br /> .�� ' � ��� � �d� _ � � .. ,-�{ (�� �; �_ �. � . _ i <br /> — �_ _ - <br /> Otvner ' Ida�l4ddress City F.ate/Zip phone <br /> �I. � �l i Gn/Cr'�. <br /> i. <br /> � � / � (� �7 <br /> %� I�=r`i!` .J lo�.�, �I'�� �.f%V) �t ��1 y v.�er`� (i_'c. �` j i��� `i S��/Y'['— // :-t. <br /> 6 � <br /> Tenanl Mail Address City Slale2lp Phone <br /> '� i� i: li' �% �' ' : � �,/t.�.�(. � C j'IiJ'I .�.rH. Lr .I��' :r" 1�:7iXf� !\ � L�l � ✓ '' .� <br /> [IecUica�Conlraclor Mail Addiess City Stale/Zip ,�Ls�_�,��, _, _Phone <br /> �S_�;— <br /> ' > - -r'. �'1 �' ' >�";` ;' '� /ID �4 J,2 � ``<. <br /> u <br /> State Licensu N�m�bar (°—T'y Conlracl Price o(Work <br /> / <br /> t . � - <br /> Proposed IJse of Building Contact Person (Plan Review) <br /> Descrip:ienofWorkcoBeDcne: .� ;�i� /I Gii� �r � 5 Cn t� eX,� ��`�+y G,'i�c`f� <br />� — <br /> � <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 /> 1 hereby certi(y that 16ave read and ex��mined this applicafion and;cnow fhe same to be true and <br /> correct All provisfons olla�vs&nd ordinances governmg this type oI�vork will be comp/eted <br /> whefher cpecified herein ornoL The granfing oI a ponnd does nof presume fo give authonty to <br /> violate or cmicel the�rovisions of any other state or local/a�r rec�ulatinc�construction or the <br /> perfonnance o(censtruc(ion. Thaf 1 arn�uthonzed by the owner of Ihis properfy to pe�form the <br /> werk/or which application is madc and/cornply�ri(!i the Stafe Caifractors Law 18.27 RCW and � ' � — Z� <br /> 29G.2U0 WAC. <br /> � � / / ,, , <br /> l , <br /> � Signature �ate <br /> I <br /> � - - <br />