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r-�----- <br /> ELECTRICAL PE�MIT APPLiCATION <br /> CITY OF EVEl2ETT PERMIT SERVICES <br /> 3200 CFDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO� VI <br /> J <br /> � <br /> �3 �,� ,�1 v'vJ�� uJ�3 y <br /> PROJECT ADDRESS <br /> a <br /> � �'�'��L��S � � ���'I ��Y.el / l'td"' � 1 �'�CJ � <br /> Owner '�- <br /> Mail Address Clty State2ip Phone <br /> Tenant Mall Address City Slate2lp Phone <br /> /�,�— � <br /> Eleclrical ConUaclor Mail Address City �SWte/Zip Phone <br /> �� d <br /> Slate Lic�nse Number Conlracl Pnce of Work <br /> Proposed Use of�uilding Conlact Person (Plan Review) <br /> i <br /> De�scdption of Work to Be Done: �� ���1 G �.(, ( � �,-' �7jv ..C� f' (//J.-�d i�t/ �i�U�'h� <br /> _���2 � 6 ��, -�i d�.�n�r� �� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CA6LE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE�S 3105 <br /> I hereby certity thaf 1 have read and examine i Ihis applicaGen and know fhe same fo 6e true and <br /> correcL A'l provisions ellaws and ordinances govemmg flus type ol work will be complefed <br /> wlrefher spec�hed herein or not. The granting ol a permd does not presume to give authonty fo <br /> violafeorcancelthe`�rcvisionso(anyofherslateorlocallawregulatingconsWcfionorthe <br /> P ork lo rwhich applictafion is n a'de and�l coniply��tli fho Stafe ContracforsPLaw 18 27�RC�l��'aP d <br /> 296.200 W�4C. <br /> �- l�. �, ��;r-u.a�� /� ��O— G 5 � <br /> �Sipnalure Dzle <br /> �i a -y 7 <br /> J <br />