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253-981-9996 Llnet 07:55:27 09-76-7012 4�6 <br /> ( <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.everettwa.org 9 _ab-►� <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM C� o�D9 `��2 <br /> ('-�,-��p � � `� � � l,� . CA.�-nb (zd� <br /> PROJECT ADDRE3S („{a� <br /> aJ 0 L� W��Dd <br /> OwOaf MallAtldress Ciry SlnlelZlO Phc.iB <br /> �Q <br /> nant ` M;il Ad�`� �� Clly Stete2ip � ` p�4 � <br /> l/� l �✓ O <br /> Cbmmu.n�m�cv� Pc�- S � �� �- ��`�'�03a- le�oo <br /> EledfiGal Conlrector Mail Atldresa Clly StatdZip Phone <br /> ��('�S�--��C� ►ti1,C. � `�"L� �— <br /> Slate Liconse Number Conl�act Price of Work <br /> .�' . <br /> Proposad Use of Building ��o� '�IaBReview\r�. <br /> Descriptian o1 Work lo Oe Oane: �� �-T`�"-ti-i�. �I � W\�/U�J �.v�'� � � ` <br /> � � 3�-�y- cal�q <br /> I NOTE: WIRING IN NON-DWELLINGS IS R[�UIRED TO FEE <br /> IB[ IN RACEWAYS, MC OR AC CABLE. �O <br /> CITV OF EVERETT IOCAL SALES TAl(CODE IS 7105 `_� <br /> I I hereby coriily fhat I have road nnd exarnined fhls npplicaf�on and know fhe same fo Ge(rue and ` 1Z�^ ' I � � <br /> correc(. All provisions o//aws ond oidinancus�overning Hns type ol werk will be complefe0 k U <br /> whether specrfied hereln or noL T he granfinc�o/a permif does nof resuma fo r�ive authority ta � <br /> violafe o�cenco/fho�rov/sions o1 any ofhor stafe oi local law reguPfing conshucfion or fhe <br /> porlurm�nca o/cons rucfion. Thet I am authanz�d Gy fho owner ol th�s property fo pedorm O�e <br /> work lor whir.h applicaticn is medo nnd I compty wRh fho Sfafr Confiactors Law 18.27 RCW anJ <br /> 296 200 WAC. . <br /> ��� 3 l � Z <br /> ignature � Data <br />