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, <br /> ELECTRICAL PERMIT APPLICATIOI� <br /> CITY OF EVERETT PERMIY SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> ;o �3� s � ��- � � , S,."�. ��2 <br /> PROJECT ADDRESS y�2 v `/ <br /> �i�'C�o�p E��z zt aiJ SysiE7vt s � �LS� <br /> � <br /> ��.,1 i.�.�e_ � 031� �rrncrk u2 �S.w� �02 i f�r�:-{�� �.fk 9fiZa�} 3S�- �1% <br /> OWner � MailAtldress Ciry S1ale2ip � Phone <br /> Shtii;�E .Acs ,4r5�� � <br /> Tenant MailAddress City . State2ip Phqre <br /> l� ,�. � � � � <br /> �¢GiY oao�` � �� � l ��i� �G .�DcsS`!�v yvJ^o�� 1) r�nlA `��/Z `�ZS-1�/"�00 <br /> EleCtriCalConfraGtor MailAddress City StateRip P�one <br /> �AC�FC �Ql�� DC � z,aSz. �oa� <br /> State License Number ConVact Price of Work <br /> /I�F3 i T .r c�iNE�'Fa2� <br /> Proyosed Use ot Bui�ding Contact Person �Plan Review) <br /> / / / ,� t / ' � ! <br /> f � <br /> Description of Wotk to Be Done: f Z �Yt�'�dG /S +N� "���rr y v �� <br /> � � <br /> ,. �_ L.q,�„ �E�� /, qli�.-Y ;Iln,a✓ �.�.o a,^c-S �G2 / Ya /�.t1'.l <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOGAL SALES TAX CODE IS 3105 <br /> I hereby certiFy that�have read and examined this appliration arrd know the same fo be Mie and <br /> conecf. All provisions ollaws arM ordinances goveminy this type ot worlc will be cnmpleted <br /> wheMer specfied he2in or noL The granting o/a permrt does rrofpresume to give aufhority to <br /> violafe or cancel the provisions o/any oMer stafe or local law reg�lati.ng corrsbudion or fhe <br /> ork�or wh ch COnstruction. Thaf I am aufhorized 6y the owner o/fh�sp rty to perlorm fhe <br /> � 296.200 WAC.�P���tion is made arM I compty wifh the Stafe CoMra�cl�aw 18.T7 RCW erM <br /> � ���� �'� �. �/�3/�s <br /> �. _ <br /> ��s��,re ere <br /> — �d ��—�� � <br />