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_ � <br /> ELECTRICAL PE�MIT 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 6 AM TO 4 PM -DEBIT&CREDIT CARDS ARE NOT ACCEPTED <br /> 553� (��ea'�v P ✓� 11�� — <br /> PROJECTADDRESS � <br /> �Rr�ea�Yllr�r>Yc 553b i:��craro�hU� .u � -v�v� + �,tJw��r� �� �yo-ZCcla <br /> Owner MailAddress ty SWIe/Zip Phone <br /> \\ l\ /� fl <br /> .�r:e v�YY��vrSG;11�5��nCev�-F-�,� <br /> Tenant MailAddress� City StatelZip � Phone <br /> ��:11��?-�\ �Z_�i�'�c �_ZZ� /�/����nr�nt�.. <br /> Eleclncal ConUactor Mail Address Ciry S�alelZip - Phone <br /> ���Tr�i��Nd� `� �,�zo <br /> Slate License Number Contrecl Price of Work <br /> Re�r�.�� \ _��ne ��� I P,��Pr <br /> Proposed Use of Building Contact� erson (Plan Review) <br /> Descriplian of Work to Be Done: \I�i E �L1 1�'lC�� ' �� kl��� � <br /> �=v; -� . �F , r � k <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 COCE IS 3105 <br /> 1 hereby ceriilylhat I have read and examined(his application and know(he same to be frue and 1 <br /> conect. A/l provisions o/laws and ordinances goveming this type o(work wi/l be completed C dC9 0� �� <br /> whetherspecified herein or noL The granfing oI a permR does notp resume to give authonty to <br /> violale orcancel�he provisions o(anyotherstafe orlocallaw regulating con��vction orfhe <br /> Peoik%8wh/ch appl'ca if o�n/s rnade and I comptyedthytne Sfate Contrh-d�cfor�LawY18.27�RCW end <br /> 296.200 WAC. <br /> L <br /> l <br /> � OGuw� ��c��--� I l�o l'L��(o <br /> Signatu� Da e <br />