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( <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 a — a-—� '�1 <br /> 425-257-8810 - F! ( 425-257-8857—www.everettwa.org ��qoa_007 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> j(X!3 l�/c-,� ��hr.r� �l.•r,� 4`_� 'G:,j (i,.�ip,�•. <br /> PROJECT ADDRESS <br /> IML ll'c.i•., �_c,��•n.uy. <br /> Owner Maii AUdress City State/Lp Phone <br /> N�A <br /> Tenenl Mail Address Cily SlateZp Phona <br /> �-ry Z.a �.��nn, l'cG:��,�. �:�,_u1J..� }�;.• _. M�1: J?c�'I.R wo '-�F11� Z�,� �;�l-ol��i <br /> Electncal Contrectof Ma�l Address Ci�y SIa�e2ip Phone <br /> ) CL' <br /> �CJ`� 1 �'.°�C� ��> .{• B�� II� it_1�X� l <br /> Slate Ucense Number Conl�act Price o(Work <br /> ���V•V ���i`.,l�:, o-�� v '-I�L���:_ (�l� — <br /> Proposed Use ol bwiding Conlad Person (Plan Review) <br /> Descnpl� �01 Work ta�e Done ��,"•�[',: �.�•�-• �^'=>� o�_� �-i_:.�_� r �.i�,J:. T...>, r�6�+ ,-1� -D� o �Lr, <br /> NOTE WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITV OF EVERETT LOCAL SALES TA%CODE IS 7105 V D`I( ��- � � � <br /> I horcby certAy Ilraf I have�oaA nnd oRannnoA fhrs nppDcahon and know fhe samo fo ho truo and <br /> correcf All piovisrons ol laws and ortf�nan�ros govommg Uns typo o/work wdl be romplafed <br /> whofher spocrlmd herem or nof Tho gran6ng ol a pennA Aoos nof presumo fo giw authonty fo <br /> wolafe or r.ancol flrr,/,rovrsrons ol nny ofhe�sfalo or local law�egu/ahng c:onshucfron or fhe <br /> pnriorrnance ol r.onsfrur.fron Thof 1 nm aulhonzeA by I/re owner o/Ihrs proporty to peAomi Iho <br /> wo�k lor which apphca(�on is rnade�nA 1 crompry wdh fho Stn(o Confrncrors Law 18 27 RCW and <br /> 296 200 WAC / � <br /> / / <br /> % J <br /> ��:i'i•✓:�- r-��.��", <br /> �' $fynali e �Dal <br />