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i <br /> ELECTRICAL P�RMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES a/�6/�Z <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-E;857-www.everettwa.org C I�,L „-�(� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> o�i� -t. ��u�10 Q-�• ���5�-���i ��� �1��-� <br /> PROJECT ADDRESS <br /> � Lt �L V�t2I�i���t� <br /> p�y�ef Mall Address Clty Slate2lp Phone <br /> Tenanl Mail Address Clty Slale/Zlp Phona <br /> (3�r�tl�C'�cv r_�s�s�s ��-�� ,°�lE n1�� u�s� ��� �.l�rr q8z�-1����s� a- <br /> EleclriCal COnUeclor Mall Address Clty Stele2lp Phone <br /> Qou�F �� `��1 lo� �� l�'�C� "... <br /> Slete Llr.ense Number Canlracl Price of Work <br /> Proposod Use of Bullding Conlect Person (Plan Review) <br /> DescripUon of Work to Bo Dano: �4� ��� w��-�b�� ��d��Z Q.� p _ <br /> l�\�l l�- � l� �� ���'Z L"�(L <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E � <br /> BE IN RACEWAYS, MC OR AC CABLE. �� S <br /> � <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3705 <br /> 1 heroby certily fhaf 1 havo read end examined thfs epplfcotlon and know the same fo be fnre end t, �z �2 U�� <br /> corrucf. All provlslons o!/aws and ordlnances goveming fhls fypo opl work w711 be completed <br /> vlolefe or Paii�ol�he P�rovlslons ol any ofhe�r�tafe or locel�ow reguleflnA constructlon o�r fheY�� <br /> peAonnence ol construcflon. That 1 am aufhonzed by fhe ownar o/thls property to per/orm the <br /> work lor whlch appNcalion is mede and 1 comply wlfh fho Sfafe Controc/ors Law 18.27 RCW and <br /> 296.200 WAC. <br /> --- - <br /> _ �� oa �� �� z <br /> � Date <br /> __—� <br />