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, ---- � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SFRVICES �` _� ` C� <br /> 3200 CEDAR STREET, EV[RETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evereliwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> _,--� _ _ -, _ <br /> - ( ��� �iluU �jt�1 �i �C.f,-�:l� � ,�_.I �_� � h'J <br /> PROJECT ADDRESS <br /> ��fl'�� ' �1 v ���!)I;.L;� �-�.1�_ '��,v [ i f-j� ;�'Jt,� '�i�7�7 �1��\ � l�� I) � 7C�.r�-�t�tl `�`I�.�� <br /> Owner Mail Add�ess City StatelZip Phone <br /> TenBnt Mail Address Cily Statc2ip Phone <br /> ( � � I� 1 I1/� �/. <br /> ��i itID..S. I"�i1 'f�iP' �_el '�..�i ? . . �t .iO��..y�. ��W ��k�l�l 'V� "Jr1 �tl;Dv) 'i��) ��ii'J <br /> Eleclrir.al CoNrqctor Mail Address City Slate/Zip Pl�one <br /> IIT 1 ��TI� � 1 �� �. � l�' . �' � �U —_ <br /> Slate License Number Contract ricn al Work <br /> /���UL', A V ni!.1L �. ��-�,_�.1.!� �J1i�l�Vr��C.�1�.GPr.'�.Ji��= <br /> Proposed Use ol Buildin� CoNact Person (Plan Revicw) <br /> � � <br /> DescriptionofWorktoBeDane: ���tl Li�n�.".FiX':��n,�J In�iP �,n��. c� ��.��n��_'. <br /> NOTE WIRING IN NON-DWELLINGS IS REGUIRED TU FEE <br /> 6E IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALF.S TAX CODE IS �105 <br /> I herrby�'rrLly Ihat I h�a��e rrnd��nd ra�rnined Ihis npplicafiun and knew Ihe senie fo be Irue and <br /> r,nrrr.( All p�ovisions o!laws and oidnrances�overnma fh�s type o�wo�h will br r,ompleled <br /> whNher specihed herein oi noL The giam�ng ol o pcnnd Aoes nof piesume(o pive airthonty to <br /> �volate or canr.d fhe provisions ol nny nfhrr stale or locel law re�ulahng construchon or the <br /> performence o!construchon. That l:inr�rthunzed by fhe owner ol lhis property to peAorm fho ,I <br /> 196M200�WAC Flpplicofioli.islur�do¢iid�compty wdh fhc Stnte Con6ncfors Lnw 18.27 RCW and [� <br /> ___.: - �� �� �7 .�,� , <br /> --- , <br /> �--_' ✓ 7 L� <br /> � � --- --- . , <br /> � , , � , <br /> Signalu�� � -'�� Date <br /> ,' <br />