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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES y _ �y.�� <br /> 3200 CEDAR STREET, EVERETT, WA 98201 gD4 ��� <br /> 425-257-8810 - FAX 425-257-8857—www.everetlwa.org � <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , <br /> ., , ',��r, <br /> j�ZJ3 W. C,..C]SIf�:J 1'.oOp �7-jfC.- ' <br /> PROJECTADDRESS <br /> '� lol MS I �o`� ��=��r�.t WF. �n iZ�i <br /> L)UtIN.�i C_L�MPUNY P.C1. I.1Cy( � <br /> owner <br /> MailAddress Clry StatrJZ�p Ph°^e <br /> Tenant Ida�lACdress Cny Statelllp Ph0^e <br /> 7i15 <br /> �v S�c.,st�,���_ C�b�n�c. �4��� tsW Sd` ��. � I18 '�:r.��_� Wr. 7FIil 9>�-�iSG <br /> Electrical Conlraclor Me�l Address ��N S�a�uZ�P P��e <br /> � o"' <br /> FDY I N'.:�.O��i��N <br /> �L���ti,Z' <br /> State License Number , ConVact Pnce of Work <br /> Proposed Use o1 Building Conlacl Person (Plan Review) <br /> Desa�plion o'Work to Be Done LC�'� ` ' �� � <br /> `:-x� I ' �,i ', y'� . � 'L ('�e'�'- ��� <br /> NOTE: WIRING IN NON•OWELLINGS IS REDUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � -,_ <br /> ,�J <br /> CITY OF EVERETT I.00AL SALES TA%CO�E IS J105 <br /> 1 haioby cortAy Ihat I havo road and examined fhis applicahon and know fhe same fo be true and � C��`��' I � <br /> conect. All provisions olla�vs nnA ordinances goveming fhis type o!work will be complafed <br /> whothor spocdiod hn,roin or nof. The gianting o/a permd does nof presume to give authonty to <br /> wolate or cancel the prc iisions ol eny ofher state or local law regu/ating constmcGon or fhe <br /> pc�formanco o/conshuchoa Thaf I am authonaed.by the oH�ner of this property fo pedorm the <br /> viork lor which epplicabon is made ond I comply wrth the Stale Contrecfors La�v 18 27 RCW and <br /> 296 200 WAC. /. <br /> % � <br /> -.��.-r'-�/ _; �,���1. <br /> —. /�'Signa s. -. � ete ) <br /> �z�,i <br />