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�f�� _ � � z _ - v <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.everetiwa,org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> �"�Z`J �/i�� ��<<<,IV � �� rC� ��.j✓,��t�t. �fSdc�o <br /> PROJECT ADDRESS <br /> � �+ <br /> �� ; ��� << L � � �-����_rli.s���i � � , l ! r"/1!"IT l+'r� /�DO <br /> Owner IAail AAdress Gty SlatefZip Phone <br /> Tenant hlailAddress City SIn�elZip Phone <br /> ii�Jh'�' t� � SFi�rrrt Q�S ��la�� /i�« � ��u��� , u�17 9S/yf� <br /> Electrical Conlractor �1ail AAtlress COy Slate/Lp Phone <br /> ._j;�,�C-�II I'�)� � L( (r- � )�� ��c; Gr_. <br /> Sfale License Number Conlracl Pnce ol Woik <br /> D%/7 �l'tlh7/!)C <br /> f�roposed Use oi Building Conlad Person (Plan Review) / 7�� <br /> �CE - 3�l r� i <br /> Descnphon ol Work to Be Done: �15/CI [//!c � ��l� /�/l)��y��l ntt/� � ��Nn) � <br /> �ri)r l Li� vl r'f tvti ���r� (�J� c ci !l � � �� FJt�` ���ahC� <br /> NOTE WIRING IN NON-DWEILINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABL[ C!l <br /> � ��,� — <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS ]705 <br /> I herehy certdy Ihaf l lrave read and eramnred tlrs nppl�cahon and know fhe same fo be Vuo anA <br /> �nimcl All pmvrsro�rs ol laws and o�d�nancr.s yovcrnr�g fhis typo o!work wdl be nnnplefod <br /> u�hofhor spea(�ed homin o�nol The g�an6ng ol a pormd Aces rrof pre5unte fo grvo nulhonty fo <br /> violdfr, or cancc!fho irovisions ol nny olhcr sfatr.o�bcal law regula6ng conslruc6on or fhe <br /> pcAonnance ol cnns�ruc6on Thaf 1 am aufhrn�zod by fhe owner ol flus propr.rty fo podorm flre <br /> �tn�ti lor which appLcahon rs made anA I cornply wdh fhe Stafe Corrtracfors Lnw 1 B 2?RCW and <br /> :�6 700 WAC <br /> —=��it� l_ � /�, ' J r'�• E�G 12 V �� <br /> 5¢In n � Onlc <br /> f��D <br />