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I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERE .-T PERMIT SERVICES <br /> 3200 CEDAR STREL'T, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereltwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> — ����� ����' �f' U�' �b�l�� �� (,�{� <br /> PROJECTADDRESS <br /> —��e v�u1c< <�-� 6 �« IL �- �-� ���J �l-e�� �� �, (� �—ti�e � A <br /> Ownor MailAddress Gty Slale2lp ��7r / � phone <br /> Tenant Mall Address <br /> Clly Slale�Tip Phono <br /> � ������li� ;n�� � ���. r/I � c � / �`� � J i�i� � � , � 7� �c� �� ,� <br /> Electdcal Conlrector Mall Address .— <br /> Clty Slalo2lp Phone <br /> � << <<<r���. l i �t c U �� 1,Y0 c� . c? � <br /> Stata Liconse Number <br /> Contract Pdce ol Work <br /> Proposed Uso of Bullding Conlact Porson (Plan Review) <br /> Doscriplion of Work to Do Dono: __ � , 1- (,�, . r�, �i ,...4. r /� t � `� � / <br /> r <br /> _��,�, � F� .. , � -, i <br /> .- . �, , � <br /> �-�t�,- ,ti, << n � n.� ��� <br /> _ �'� y� � � „ 4 C. <br /> ;,�, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heroby certily fhrvf I Iran3 rend nnd eznrninpd fhis applicnfion nnd know tha semo to be hue and �I �� – �J� <br /> conrct. All provisions o!/aws and onlinnnces gnvenung th�s fype ol work will Go complofed <br /> whe(her spncilicAlrc�rein or noL Tho OrantinD ol n pennR does nol �rosume fo glve authonfy fa <br />,. violafe or cnncel 11io/�rovisions ol any o(her sfafo er locnl Inw regu�eting consfruclion or tho <br /> peiformance o!eonsfiucfion. Aiet I am aufhorized by tiro ownor ol fhls property lo per/onn(he <br /> �soik lor K�Irich �pplice(ion is rnedo nnd l cornply ivifh fho Sfnfe Con(rnc(ors Low 18.27 RCW end <br /> 296.200 WAC. � <br /> � � <br /> -- –.� -- ��� / �` 1 � � v <br /> Siyna�wn — -- Uate <br />