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� <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.everetlwa.org � , � L _�7 <br /> � � <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> �� Z"1 � l��1�51A10 �� �,v�f'�e.TT ��� l SY, � ��'��J <br /> PROJECT ADDRESS <br /> ��S'�S�M1:�� �'�'C-' '., " 7 �-11`�TfiJr.`� d,c'.�'lt w� 1�6U-i L 7un���15�I5� <br /> Owner hlail Address Gly Stale!Zlp Phone <br /> Tenant htall Add�ess Cily SlatelZip Phone <br /> rL_ � � I , �. <br /> ��1^I-11uA: pw rl`iPlt \ nr �'i .� (_K �l��..��. �L.� 1 ��R�it �Lu �1E1 ����) "1�i i11'Sllj' <br /> Elodrif.al ConlrFldor Ftail AdAmss Cily SWIe'Zip Phonc <br /> �T`T ITG l '�"1�. uC. �� �i `)!�'J _ <br /> State License Number ConUacl Pric�of Work <br /> .�.� -n�,u��,ct��tic, G�, ; m �� ss��. z <br /> Proposed Use ol Buildint� Conlacl Person (Plan Review) <br /> Descrip�ionolWnrkloBeDone: �_�je�•'.P lr (�ny) I�If����. �� �.� l-� )i � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I hereby ceriily fhnl l hnve road nnd examineAfhis npplicalion and knoK�fhe sorne fo be frue nnd <br /> co.�ect. All provisions o!laws onAordinances novernrng Ihis type ol work will be completed <br /> wheNm� specilind herein or noL The�7rnnfing a!a pem�d does nof presum�fo give aufhorify lo <br /> vio/nfe or cancel the r�rovisions ol any ollmr slato or locnllmv regulefin�construcfion or the <br /> porlormance ol construr.tion. Thaf 1 am eufhorizod by fhe o�rner o/fhis propeRy fo perfurm fhe <br /> work lor which npplicnfion is rnade nnd-1 comply tvilh fhe Steta Can6ncfors Lew 78.27 RCW end /� <br /> ?96.200WAC. .' . � � <br /> _�,. , , .. <br /> �� � ' %� -�/—''' ��� <br /> � � �' � -, _� n , G--� / � <br /> i_ / <br /> SirinaWr� � Dale <br /> / <br /> ( <br />