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j i —i � -�=K <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-"810 - FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> �� /v j 6�•�c ' __� l e �'f Uc: <br /> � <br /> PROJECT ADDRESS <br /> � ' r <br /> / /��� f �( L "I Li; �r 7 7 � ��y <br /> _ / .�h�(.�C: �/ )t�L.tJ%5 �lJ�o I�'fC"�-!�c ��LC `�A' oLYj�F�I <br /> C�.vrer MailAddress City Slate/Zip Phone <br /> �,�.����� �,�-� GJ�, /zK S i 3i� �F,'�� ; �� �� ���,—;15�s�1 <br /> Tenant Mail Address Ciry StatelZip Phone <br /> �nVL�� <br /> Electrical Conlractor Mail Aadress Ciry State2ip Phone <br /> �!-� l� F � C_ i y 1 til� "� 2 2 c� ?_ " " <br /> Sia:e License Number Contract Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> 1 � <br /> Description af WcrK to Be Done: ��"1 �` r� "� � C ��� j �a�t..( �(+�''� � <br /> k-7G��� �'� � �G�C�.% �/Y7 \ �kf �. <br /> NOTE: 'JJIRING IN NON•DWELLINGS IS REQUIRED TO F <br /> BE IN RACEWAYS, MC OR AC CABLE. �/ / �_ C' � <br /> 6 <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hem6y certdy that/have read and exa .nined tliis apolicaficn and know fhc•same to be true and <br /> correct. All prcvisions ollaws and ordinances goveming;his type o/werk wdl be completed <br /> whether specd�ed herein or not. The grenting of a permd does not presume to yive authority to <br /> v�olate or cancel the provisions ol any e�her state cr local law regulating construction or the <br /> peAormance ol ccnstruction. That 1 am authonzed by the ovmer;i(his propeny to peAerm the <br /> wcrk fcr wh�ch application is made and 1 cemply w;th the State Contracfors Law 7817 RCW and <br /> 296.200 WAC. <br /> ✓}�� c�� 1 S � -�--- � l � 1 S� '�� <br /> Si awre Date <br /> � � 1 �' _ r . ' <br /> � � , - <br />