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t � <br /> ELECTRICAL PERMlT APPLIC�ATiON <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 47.5-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT 8 CREDIT CARDS ARE NOT ACCEPTED <br /> 160� 13i'nc�.ctwc..� Lvere4f, l�/A �Eaol <br /> PROJEC ADDRESS <br /> Lnuise ��ucer��ivi �01 b'" aveNUP� Sw�1e a�oU. �a�e � ��•'�'t�-�vu <br /> Owner � /] Mail Addmss City State/Zip Phone <br /> V��' �« ,�� <br /> Tenan'-� MaitAddmss Cily Slale/Zip Pliona <br /> L'-a.s��.lv�cl ��ecl�r� c, . L4G 33q6�+ 5�= Fra�eCt �;r� Gresl� O(R Su3-3t3-oo 6 <br /> Elecirical CoNrector Mail A dress City state2ip Phone <br /> �,¢sY�w �� �°.�y �g �� oad <br /> Sia�a License Number Conirac�Pri of�ork <br /> �1��-fh�,�sv38/o 9�7 <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> � , 1 „ .�/' <br /> Descriplion of Work to Be Done: /,� �/A i���_ �. /'� '. � �� %�r:i' '.�,��• l� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ` �� �—� <br /> J�- <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 I <br /> I here6y certity thaf i have read and examined fhis application and know fhe same to be troe and <br /> conecL All provisions ollaws and ordinances goveminp fhis fype ol work wdi 6e complefed <br /> whefher speciGed herein or not The granfing o/a permd does not presume tu give authonty to <br /> violafe or cancel the provisions o/any ofher stafe or local/aw regulating consfn:c6on or the <br /> peAormance o/consWction. That 1 am aufhonzed by fhe owner o/fhis Property to peAorm the <br /> work7or which application is made and 1 comp/y wi(h Ihe State Confractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ,-%`��' S�'3/-O� I <br /> Signaroro Date <br /> �aSdG-do�v <br />