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ELECTRICAL PERIIAIT APPLICATION <br /> CITY OF EVEREIT PERMIT SERVICES <br /> 3200 CEDAR STREET, FVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1 ' �� 2�� �.�_ <br /> . '�' 3 �,�,�;,� ':��.,LU ,(t�-� .,�:� .ca� i .�<� � �S- � � � <br /> PROJECT ADDRESS <br /> y�� -�i:�/ -����j <br /> 13��� „u. - lY ��N- 3r��, i .�,�.� ,i C�>�,.,� Q,r��� ���.�.�G� CJiI 1����� <br /> Owner �� Mail AdCreee qty State2lp Phone <br /> ��l�i ,�i. , _�. <br /> Tenenl � MallAddrcee City Stale2lp ��,` _ 76,�r�ns�. <br /> / [ / ) ( S c <br /> i <br /> .���� ��rc7'r . � (�C; _lJl �' �U�lyL� /1,r.� � � �JIN -_J.IFIi/stI � ��'l� �0:��7 <br /> Eleclrical Contractor M Addrese City Steta ip Phone <br /> �!/ 1 / �' .Ju(_ l r"i i ��G����� <br /> Stete Llcense Number Contracl Price ol Work <br /> Proposed Use of Building Conlact Person (Plar�Review) <br /> /� �� � � + 1 <br /> DescriplionolWorktoBeDone� �..l�A % �''-< < " ' �(� ���' r��� '1�"./�" �-��� � •�[ i �� <br /> `-f�-' C /l.i r�.% L �t�..s'--L V 1�1�7��._ L > <br /> NOTE: WIRING IN NON-DWELLINGS IS REOUIRED TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily thef 1 heve reed end exemined this epphcetion end know fhe same fo be fnie end <br /> correcL All provisions o(lews end ordmences goveming fhis type o/work will bo complefed <br /> whefher spen6ed herein or nof. The grenfing ol e permd does nof prasume to give eutAority to <br /> violefe or cancel the provisions of eny ather stafe or locel lew reguleting construdion or fhe <br /> peAormence ol construction. That I em euthonred by the owner ol this proparty fo pedorm fhe <br /> woilc lor which epplice6on is made end 1 comply with fhe Sfate Confreclors Lew 18.27 RCN�end <br /> 296200 WAC � <br /> � <br /> . �� . ,,, . , ., � ��,� ��- �'' <br /> �5 qnaNrl e � Date � � <br />