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-D � <br /> � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVE.RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-G?',7 -nrvnv.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> . l >, ' <br /> � � � . �.L-�� " �� � K'..Il.lh ���� �l (_ C,j� <br /> K <br /> PROJECT ADDRESS <br /> �(Z_> " <br /> /� j���:L� <br /> � �tit' ���1� '�- /1 ��' � C l,�'r'i� L�i��A�l0 �te� ��. �w�w1� �J� � <br /> i <br /> Owner MaA Address City Slate2ip Phone <br /> Tenanl Mail Address City State2lp Phone <br /> �}Z S <br /> I�+YJ� l lL-(.:1�'-.lL - �C�(�', �t:lt' 1�t- �t- ���c.,L�c��.,����ll, ��E3��D �� 1";lr, <br /> Eloc�rical Conlreclot M17ail Addmss City State/Zip Phonn <br /> �r.� <br /> �y��� — <br /> /-�kA.r c c <<r�,���I' --- <br /> Sla�o Liconse Numbcr Crmlract Price ol Work <br /> � �— <br /> rtitt� ll-L i �.,,�. �l�S - <br /> Proposed Uso of Building Contacl Porson (Plan Review) <br /> � / <br /> Descriplion o�Work lo Oo Donr�: �=-''� ��� �r�l_�� (,.CC� � �•^ '�, .1 �•�� r�V '�- — — <br /> �� - . ��1 ��. ��� - <br /> NOTE. WIRING IN NON-DWELLINGS IS REOUIRFD TO FEE <br /> BE IN RACEWAYS, M� OR AC CABLE.. �' � <br /> � � <br /> CITY OF EVERETT 40CAL SALES TAX CODE IS 3105 <br /> I hereby cafily Ihet I have�ead nnd ex.unine!Afhis opplication nnd know flie same to bo true and <br /> correcf. All provisions ot laws anAa�finances�overning fhis type ol�rork Kvl/bo complefed <br /> �+hefher speci6ed horein or nol. The�ranting ol a pernuf does nol prosurne fo give airthonty fo <br /> violate or canc fhe provisions of any other sfafe o�Ixal law regulating consfrucfion or fhQ <br /> peiforrn�nseo! onslrucfion. Thnt I eru uthonzedtf)'fhe n�ner ol fhis property to perlonn P�e <br /> �vork lor rvhich pplicoHon is rnadn nn cornply -ifb fhe lafe Confracfors Lew 18.27 RCW and <br /> ?D6 Z00 WAC. � <br /> ( � .,� �.� �� � <br /> I • ' �`.1_ <br /> -- " �siyn�tl e Date � �� <br /> �� � �� <br />