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_ — �D �� l -� b <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STi�EET, EVERETT, WA 98201 <br /> 425-257-881fJ - FP�. 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> - i ��� <br /> ! l�l���"'i'r (.- �>„"� <br /> PROJECT ADDRESS <br /> -' I ,�/1 � <br /> _� �� f' I)� , _J ��'f� f( i '!' a<if"rr9 V lJ}� ii:j���.� �kN.�%t� /.1�.� . <br /> T o <br /> OWncr M11all AdtlrA�s Clly Spta2�p Phone <br /> Tenanl Mail Address Cily StalelZip Phone <br /> „�����Ci��..l� t l�c�� `i l-'C, l.-_7 S 3L� "�k{� l��✓ai i'/ .�1��' /-'.✓Lv>7 �% I 1� � <br /> ElaClrir.al ConVac�oi A1ail Addross Stale2lp Phone <br /> J1 •�V � •, ���,_ , �; > i_ l, �� � �L�, i:[n% -�' I <br /> Slate Liconse Number Contracl Pnce ol Work <br /> � <br /> ,�,. i� _ JE-.� _ l���� � <br /> , �, ., <br /> Proposed Use ol BullAi _� Contact Person (Plan Revicw) <br /> Desr.ription of Work lo�c Dunr.: _ 1.� `� �q t/ : � •� F �< <: ��/L�_L yi-_1` /%r� .� <br /> � � <br /> l�., t� � l 5� <br /> NOTL WIRING IN NON-DWELLINGS IS REQUIRED TO P[E <br /> �E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cmiily Ihal I hnve rend end exnmined this applicntion nnA hnoK�fhe serne to be f�ue ond <br /> correcf All provisions o/l�ws end ordinences govenung fhis t�-pe o!work will be cornpleted <br /> Hhefhe�speciheAhcrein o�nnf. The dranting o!e perrnd does nof �resurne to give aulhority fo <br /> VIOIAIP Ol f,Iil7CCI NIC IJIOVISIOfIS OI til)y OIIIBI S�BIB O(IOCAI IflW IB(JUlafing consVuction or the <br /> perinrrnnnce o!consln�ction. Thnt 1 f�m eiRhori:ed by Ihe owner o/this properly fo perlonn fhe <br /> wo�k!or which applicafion is metle anJ 1 comply with Ihe Stnfo Confractors Lew 18.27 RCW ond <br /> zsr,2on wnr,. <br /> -- = ��� � =-1-. �- , Z) ) <br /> Sq�nalwe � Date I � <br /> ' / � <br /> ✓ <br />