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. : ' � � <br /> ELECTRICAL PERMIT APPLICA`�ION <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 ' <br /> � � I, /"tl� , U'r;, .�S��>,,., � <br /> PROJECTADDRESS <br /> ;!r.,/_ i,�7.`�-'�,<' : ; <br /> , ,. <br /> � :% '� �%%� ,l�C' � rYE!L��,O:. I:_-/_�' /�/. � %1� i <br /> i �.,.a/ I�f'GS'2./2 -i j1D <br /> CWnof Mail Addreas Clly 5tate/Lp � Phone <br /> - `%):;��. /l ��� � _ ��,� ."' . r.:f.� //,�C' , �� l�(r; `i��LC?j ��E— 'J'j -101: <br /> Tonent MallAddress Ciry SletelZlp I Phone <br /> I <br /> ' . ., ��.:�1� . . , � ��i+, :Ii /-�:��/ ��r". r��L�� �•'-•Z{• /i�� • �>,.�� <br /> -Electrlcat Contracicr Mall Addross City � State2ip ' Phone <br /> - :�:'/'.? � . . S' �, ��c%,• �,.i'.� <br /> Stelo Llcenso Numbor Contr�ct Pdce of Wbrk <br /> � <br /> � <br /> �'�:. -in; . �. '(� I <br /> Proposed Use o(OuIIdInO Conlecl Person (Pibn Revlow) <br /> Deacriptlon of Work to Bo Done: F/��.�'1/US7Z. Q/J.(= :", ' " , - , . � ;i j .; / ':c% - '; ' <br /> � I <br /> I <br /> I <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE i <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAI.�ALES TAX CODE IS 3705 I <br /> 1 <br /> I here6Y ceril/y tliaf I have�eed and exemined fhls eppllceflon and know the seme to be true and <br /> conecG All provislons o//a�vs and ordlnencos goveming thls rype ol work wlll6e completed <br /> whether speclllod horeln or�;ot. Tho grenting o/a permif does nof presume fo give aufhorify to <br /> vlolete or cencel fhe provlslors ol any othor state or local law rogulating construcUon or tho <br /> performence of construcflon. T'haf 1 am authodzed by fhe owner of thls properiy to podortn the �I <br /> work for whlch application!s made and 1 comply wlfh the Stafe Confrac(ors Lew 18.27 RCW end <br /> 286.200 WAC. I <br /> , <br /> � <br /> � l , i <br /> -'__..• ':• .+`i . ' �;��' � - � <br /> i �(,'::;1� �'�� <br /> ,_ pnelure ate <br /> i <br /> I <br /> I <br />