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I — <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES G `aq ,�6 <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857–www.everettwa.org Eo6o 6-ao� <br /> APPLICATiONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> I <br />; / z 3y �Vi� I_Si,!�cr r .i T <br /> PROJECT ADDRESS <br /> sou �, n vw Carv -r.��� � T� �t.l y-�5 4To � zy� , <br /> Ownor Mail Addmss City Slalo2ip Phone <br /> Tenanl Mall Address Cily Statel7.ip Phone <br /> �J� � (_� / NT Y .0 C..�L� �/ � �' U �N � <br /> Eleclrical Conirac�or Mail Address Ci�y Siatc�Zip Phone <br /> �, CC� / N �_ LC,O J N �J - <br /> Slate I.icense Number ConUact Prico of Work <br /> Proposed Uso o(Building Contacl Porson (Plan Roviow) <br /> Descriplion of Work to Be Lone: � -- �°��' ��� ��'� �� -'U�� �j���`� 1'�-��� �`� s�.2 V� �y— <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO F E <br /> [3[ IN RACEWAYS, MC OR AC CABLE. — m� <br /> �� <br /> I <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I hweby certily fhat 1 have reaA and eA�rnined fhis npplicnfion and know fhe same lo be Inie and <br /> conecL All pruwsions ol laws and orAinances �overning fhis type o!work wdl Ge complefed <br /> whelher specihed hcrein or noL The�J�anfin�ol Fl permi�does not re5tune fo give uufhority lo <br /> vwlafe or concel Ihe vovisions o/any ofhe�sfale or local law rec�uPfing consfrucfion or fhe <br /> performance oI cons�iucfion. Thaf I am aulhoiired Gy the owner ol this property fo peAorrn the <br /> work lor which applicalinn is niaAe nnd 1 compty�W��i fhe Sfate Conf�acfors Lew 7827 RCW enA <br /> "19G '100 WAC. <br /> '' � Ci' . 2 � -U' � <br /> .i. : �- � .�__ <br /> � ig alum Uale <br /> ' <br /> ��JC Z�: - ,�C: � <br />