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ELECTRICAL PERMIT AF�PLIC,ATION <br /> CITY OF EVERETT PERMIT SERVICES ; <br /> 3200 CEDAR STREET, EVERETT, WA 98201 ' <br /> 425-257-BB10 - FAX425-257-8�'57-www.everettwa.org ��I �- /� `�� <br /> APPLICATIONS ARE ACCEPTED F�'tOM 8 AM TO 4 PM C /��� `�� <br /> , <br /> �� � <br /> �GC. ; � , U<,, �,��� Icc <br /> PROJECTADDRESS <br /> � � � �� � , ' A�I'�I �-4 <br /> , �'�; l''z�X"� ����� � �� � <br /> �dai Adres Cily State2ip l i Phone <br /> Owner (. QLD(q f�`p- `b3 C ) I ,� > ��1;(,- <br /> �� ' � �1 ' <br /> �.(�� '') (l,' �Ll� l OL C�� � �U.-CM� l.L'ut�,�U , � <br /> Tenant � Ma�i Address ��_r (C�Y State2ip r , �Phone <br /> i �� JJ � ��� <br /> � 'f �—� I�i -71 �l 11�r,� 1 �a�r � �� ti-�� I�JA �(�d�'� l�•I vC? <br /> �L� Phona <br /> Eleclrical Cont�ac�or Mail Addrens Clly Slale2ip <br /> � � f <br /> � � 1 �'t_'�,`� � � �Ci t��� _ <br /> Slate License Numbar Contract Price ol Work <br /> Proposed Use of BuAding Conlact Person (Plan Review) <br /> Description o(Work to Be Dane: � , �- - `1`+ 1 • � v[jT��-�� - <br /> V <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABLE. ��� _,� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � <br /> 1 hereby cerlily fhal 1 beve rend and oxamined fhis applicafion end kno�v fhe same fo be frue and <br /> correcf All provisions ollaws anAorJinences govemmg fhis type ol work will be complefed <br /> whefher speciGed he�ein or nof The g�anfmg ol a pannd does nol presume fo give aufhonly fo <br /> wolefe or cancel Ihe`novisrons of any ofher stafe or br.al law regulafing consfruchon or Ihe <br /> pedorrnance ol consfrucfion. Thaf 1 am nufhonzed by fhe owner o/fhis property to perlorm fhn <br /> work lor wAich nppl�cation is made and 1 compty with fhe Sfafe Confracfors Law 1B.27 HCW and <br /> 29G?00 bl'AC. <br /> / <br /> �-� � -� �, ��\ A �!"� � � � i � I I � �-� <br /> rynnNre � Dal � � <br /> (=1 C%1 I F�� <br /> ��_ ��� �(" ` � ; � 7 ��. .r �; _ <br /> � � <br />