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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 C o 70 � -'� �'7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � -a 6 �O � <br /> I�IS R���c�ky-�� <br /> PROJECT PDDRESS <br /> �L�' ��a cn 2y� yklo :>rSi sr �llc�w� c;J�-/yX��Y ytr-4'r!'—Gv4u <br /> Owner Mail Address City Stale/Zip Phone <br /> �� fec.�y 1��— Yd�G�� �rs�s� (�//c��� �� 9.�'c;b,� �i��-4i'r-6vuu <br /> Tenanl Mail Address Cily State2lp Phone <br /> IrCT(i��(�-��OI U,l, •�� ���(U S �rocFE/ �tiCoyS ✓�����/G% �rc -��4-yo <br /> Elect al Conirac�or Mail Address Ciry Stale2ip Phone <br /> Re �� �u; 99S PR � Z?y o�o <br /> State License Number Conlracl Price oi Work <br /> �e�;-�„7 ���xP��y S�, �<�� `� <br /> Proposed Use o1 Building Conlact Person (Plan Review) <br /> DescriplionofWorklo �oDone: -� `�ti�'=1( /(��� �'�`' +F`'LyG C'�eC����s� �.�C 1'O� �Oh —lid ( 1'e���it�rc� oti <br /> .i <br /> C � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT IOCAL SALES TAX CODE IS 3105 <br /> 1 heroby certi(y thaf 1 have read and examined Ihis applicafion end know the same to be true and <br /> correct. AI!provisions ollaws and ordinances goveming this t}�pe o/work will be ccmplefed <br /> �rhelher speciTied hnrein ornoL The granfing ola permif does not presume fo give authonty fo <br /> violafe or cancel lhe prorisions o�any other state or locai law rec�u/ating coos Wcfion or the <br /> peAormance oI construcfion. Thaf 1 am oufhonzed by the owner o/this property fo peAonn Ihe <br /> work lor whidi applicafion is made and I compty with fho Stofe Contrac(o�s Law 18.27 RC W and <br /> 29G.200 WAC. ' <br /> � � <br /> . ��... � — Z : �4� <br /> < j.l \ _ _ . <br /> �•l �� <br /> ` =5ignature " Dale <br /> Ea��� ,� s ? <br />