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—� — <br /> ELECTRICAL PERMIT 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 8 AM TO 4 PM - DEB�T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> �d-(o7 R�r�or �oa S • <br /> �-�,�t� wA . 9�ava <br /> PROJECT ADDRESS <br /> y�.s_��v-��o <br /> Law��en�e NOfD�J`,�i Id/o�t r1;s,o��-�� 5� ��--�� /.,�q 98��/(� <br /> Owner Mail Addreu City State/Zip Phone <br /> Sa�i,e 4 s 4 �uov'� ��'�� <br /> Tanant Mail Address Gry State/Zip Phone I, <br /> � / 1 �l� VSS' � <br /> �ItiUd�-�A/Yl N'1un��`R'/�+b� Q� 12�1RV{ � 3?�eC�euue wN 4�p� <br /> ElecVical Contractor Mail Atldress Ciry State2ip Ptwne <br /> un;�-� Cs �'9 tn� � {�R � . � <br /> State License Number � ConVact Price of Work <br /> �c S: S o�,Ce Lee L�n���4'� <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work to Be Done: 1r0`�C2 -F�Q�,q �A�';n A �1 ta ��4'7�nr! 6� � 4 <br /> — � <br /> l�(Jiet � �Q�A �Q��i✓2C� • <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY Of EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> 1 hereby cer:i(y fhat/have�ead and examined this application and know the same to be true and <br /> conect. All Frovisions of laws and ordinances governing this type of work will be completed <br /> whether spec:fied herein or not. The granting o/a permd does not presume to give authority to <br /> violate or cance/the provisions of any otber state or local law regulating constroction or the n . <br /> performance ot construchon. That I am authorized by the owner of th�s property to peAorm the v <br /> work fo�which application is made and I comp/y with!he State Cortractors Law 18.27 RCW and <br /> 296.200 WAC. �I�i <br /> ��< ��� J/3 d � <br /> S�g aNre I2Date��� � <br />