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ELECTRICAL PERM17 APPLICATION <br /> C171' OF EVERETT f'ERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—vnvw.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DE81T 8 CREDIT CARDS ARE NOT ACCEPTED <br /> � � � � � <br /> L�Ic�� \ � C� <br /> PROJECTADDRESS <br /> �tDC 1���C� i\ V�Laliq�lC1�( `', ? l7 r 'YJ. C'G�'' �o1L� � /n :� .J( iel `�` � �Ji�2 <br /> !� �'C� y"1" �.� z o <br /> Owner Mail Address City Slato2ip Phone <br /> �A . � li /� !� <br /> Tenant MallAdtlress Ciry Staln/Zip � p�one <br /> . � <br /> `7G�1�1"� C;� '��(' ; ���` 77 L 1 C�ct�, l;._ , n �Sf/�. , .� +{ �`ti��(-"-7���5 <br /> Electncal Contractor Mail Address ary Su�eazip p� <br /> �'���i�(� 1 1 �1� �� )"'� � c;i. <br /> v <br /> Stale License Number Contract Pdca of Work <br /> \ � ) � <br /> V ��1' iYi � � ��C�_i.(11 ' L�l �(',n'1P� t' �' <br /> Proposetl Use of Bu tl�l ing— Contacl Pdrson (Plan Review) <br /> i� <br /> Descdplion of Work to Be Done: I�(�C{y ��,,� L (�-i �� �� { � i � � � �'� V'p I �t P <br /> � � �7 -U '�I 1�� �.V l. � . <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIkED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certilv Ihat 1 bave read and examined fhis applicat�on end know the same fo be truo end <br /> correct. All prowsicns o//aws and ordinances goveming fhrs type ol work will be compbtetl <br /> whether speci�ed herern or noL The granling ol a pe�nd does not presume fo give authonty to <br /> v�ola(e or cancel fhe provrsions o/any other sfare or local law regulating consfrucfion or fhe <br /> peAormance ol conshuchen. 7haf 1 em au(honzed by the owner o/this property to perlorm fhe <br /> work lor which applicahon is ivade and I comp�y wifh the State Contracrors Law 78.27 RCW and <br /> 195.Z00 WAC. <br /> �. �,.! . � '±Lc�:. � Z� � ��_� <br /> a r L '���" '•�. � �. <br /> y at�re Dale <br /> � o5ia-oQ7 <br />