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EL�CTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERPAIT SERVICES <br /> 3200 CEDAR STREET, EVERETf, WA 98201 � _ �/ —�Z <br /> 425-257-8810 - FAX 425-257-8857 –www.everettwa.org � /��/ `'�7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �� `7 / <br /> � ��� - < <:>>,i �.' <br /> PROJECT ADD�ESS <br /> /� ��{Z7�25y-/cl� <br /> SC `} �I l�l��> �_71l (r ��iir- ��� �_I:.- �'� 7J ( i)�- �lQ �L'� _ i <br /> Owno� Mall Addmss City Slale/Zip Phone <br /> Tonant hlall Address City State/Zip Phono <br /> � � ,!, �iz <br /> ��![��,�—lin�����' A.�R f//.�fl - 1R5 �� IS (�ri ati 7i[� 'C C✓�2[il � � �1 `�Y� �f ��'`�� �T✓Z ��! <br /> Elecldcal Contraclor Mall Address Gty Slale2lp Phone <br /> �,. <br /> l �rt'a�1 r���- �1 c�� �� <br /> Stale License Numbcr Contracl Prlce oi Work <br /> Proposed Use of BuAding Conlact Person (Plan Roview) <br /> ' �C��L�l�' � Et.-� l�u�r�= <br /> Doscriplion of Work lo f3o Dono: " � 1 �� � K � ���aL C� <br /> / i . �) �/� C � ` Jfi-�� <br /> NOTE: WIRING IN NON-OWELLINGS IS REQUIRED TO fEE �, <br /> BE IN RACEWAYS, MC OR AC CABLE. �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 C I � U I - I I � <br /> 1 hereby ceriily fhat 1 have rend nnd examined fhis applicafion c+nd know fhe samo l0 6e fruo and <br /> coirecL All provis�ons ollaws nnd ordinancc�s c�ovenung this type o!H�ork will6o complofed <br /> whefhcr speciGed herein or nol. Tho�renling o!a permR doe.:nof nosume to gfve oulhonty fo <br /> violate or cnncel fho r�rovisions ol nny other sfofo or locfll law regulefing consfruction or Iho <br /> peAomionce n/consiniction. Thnt I am eufhorized by fho owner o/this proporty fo peiforrn fhe <br /> wo�k!oi which npplicnfion is nindo nnd 1 contply rrith fho Stnfe i.onfrecfors Law 1827 RCW und <br /> 296.200 WAC. <br /> i � � <br /> , ��_ � ,, , , � ��� , � <br /> �_ -- '- ..��--_� — f ata� . <br /> E�ipnelw r: <br />