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_ � � � � � � <br /> �, `,� <br /> � <br /> ------�{t . --- , <br /> i- ,�� <br /> ti � <br /> I ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> i 3200 C[DAR STREET, EVERETT,WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857-�wrw.everettwa.org <br /> I APPLICATIONS ARE ACCEPT[D FROM 9 AM TO 4 PM <br /> '� f <br /> � L93�1 Coc.av ��E .���r' �l �7�1 I <br /> j PROJECT ADDRESS /�3\ <br /> L J � <br /> � 1�-�i�csM �2oi �1E t__low R� ��o �RIZX3N D 2 97�i_39 k y � <br /> � Owner MailAAdmss Ciry SlatelZip Phone <br /> ,�NltlaYt✓\ C't L5� <br /> �, n ,5�.,,,7-�, .�y 39 C.b, �., n,�.. F��r�x-rr �IA� 9$2o i ti�L- ya�i <br /> Tenant Ma�lAdCress Clry State/Dp P�o^� I <br /> f,-�-�1"V\l�1Gt <br /> � �o��o�� iYa3t �� �fi �Flr�+�r��uc� �11fl �tir��l 3���1�x v�ii't, <br /> EledricalCor;ractor MailAoaress Gry SteteIDp Phone <br /> � C�OZ ��-19 30C9 .��^�04-�-�n� � <br /> I Slae l��cense Numher Contract P ce af Work <br /> �'�'G' I C� S _1��1�IC� �.I'l�-t C4�I � <br /> Prcposed Use of Bu�lding Contact Person (Plan Rawew) � <br /> �escnption of Wort io Be Done: 1 Jl:.l.:-k+J�-� ` �1V t ��� 1�L�S+ Ur V , <br /> �N�L�`��� <br /> NOTE WIRING IN NON•DWELLINGS�S REQUIRED TO FEE �/ <br /> BE IN RACEWAYS, MC OR AC CABLE. ,F? Sb��� <br /> CITY OF EVEREtT LOCAL SALES TAX CODE IS�105 <br /> 1 hereby ceRrty Lh�f I have mad ard eaarnrred Br;s aCULcahcn artd kncw the same fo Ge true and r' r ���O� I <br /> co�vecf. All prowsions o!laws and OrC�nar,ces gov�mmg thrs rype cf n�rH w�ll be co.nplefed C 1 <br /> whether sFecd�ed herem or not. D;e grar,rmg of a permrt dces nofPresame 10 s�ve euthonty fo <br /> wdalo or cnncc�tho prcws�m�s o!any ofhm sfafo orloeal law resu ahnJ consHuctron or fhe I <br /> I pertcrm��ac6 of conshuctien. Thaf i dm aufhonze0�y fhe ewner ol;,qis Grcportyle perlam fhe <br /> Iwc�k for wh;ch arpGcafion is maae an�i cnmpry wrtb the S:afe Conlracbrc�aw�8.27 RCW and <br /> I 2' �VAC <br /> I�/13 f !l <br /> Slgnalure Care � <br /> I <br />