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i <br /> ELECTRICQ►L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —wvvw.everetlwa.org <br /> APPLICP.TIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � � �l� �i`�i l�1_i�Y i�h 1 P� <br /> PROJECTADDRESS �— <br /> �� L. 1"�.' l�"Z'-� � �l���� ) �.l �t���t� �� t: .�1�� �/ , <br /> OWner Mail Address City SWle/Zip Phon^ <br /> � S/�1�7-C /.�_`� /� �0 c�L <br /> Tenanl Mail Address Cily Slale2ip Phone <br /> `'�,L� ,-�t�� � r�; ��� c�11, -�_,�,�rc� �,i- ���� / <br /> [IeclricalConlraclor A7allAddress City State2ip Phone <br /> �-�,,,�-P� ��n� ��,����� <br /> Stalo License Number Contract Price of Work <br /> Proposed Use of Building Conlacl Person (Plan Review) <br /> DoscriptionofWorktoBoDone: � OL� L�LI''IQ��.�a,vi�i <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br />� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I here6y certi(y fhaf 1 have read and examined Ihis applicafion and know fhe same fo be true end <br /> correcL All provisions o//aws and oidinances goveming fhis type ol work wi116e complefed <br /> whefher spea6ed herein or noL The�ranting o/a pem�d does not resume to give authonty fo <br /> viol�te or cancel the provisions o(any ofher state or local law rogoPfing consfn�cfion or fhe <br /> perfomiance o/consinrction. That 1 am authonzed by the owner o/this property to perfomi!he <br /> w lor�vhich application is ntado and 1 comply wi(h fhe Sfa(e Confracfors Law 18.27 RCW and <br /> 2 6.200 WAC. <br /> � . � , _ �`�. <br /> c�i� 1 r� ' � I �� _ � � <br /> � �v � <br /> 'Signalu D le /� � <br /> � <br />