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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 32U0 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8657-www.everettwa.org �;�7 O � --1 u <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM � ` °,'d� 7 <br /> ( i' <br /> I��?iJ �_ \ ,C.;,ti�.'�..j ' �\\r�_ <br /> PROJECT ADURESS � <br /> � � - <br /> ,— _; ,� � �L;��-' 1 ^;,' __` .; <br /> �. . 'U � �,� 1 � � <br /> Owner � � tdailAddress Cuy State2ip Phonc <br /> Tenant Mall Address C1ty S1atelZip Phone <br /> 1�\c...I��t��1�t� �1.;t.C_a-� � C�� :�.�- ( �!��� .�5' - y `��'} <br /> Eleclrical Contraclorl—nAan Address C�q• State2ip �hon> <br /> ���/����`�T t V ��.. ��7 � ��J�� 1 <br /> Slale License Number ' Contract Pnr,o of WorY, <br /> Proposed Use of Buiiding Conlacl Person (Plan Review) <br /> Dascriplion of Work to Oo Done: 1 � � �-+.� ��Y`�I�tLI "�'GJ�'1� ��-�-�-'�`'�L- <br /> _ � � <br /> �0�1?-4ti ;�_ �r� ( DV��� A� � l�Yc�.��ti ^vC�^ -� ��_CAC����,�R`� <br /> ;' `�-•Clvcr� . I - �'J.,�n ^ ctvw�.1 �',�c v�-4 . <br /> NOTE: WIRING IN NOIJ-DWELLINGS IS RE�UIRED TO FEE I <br /> BE IN RACEWAYS, MC OR AC CABLE. � <br /> � <br /> CITY OF EVERETT LOCAI SALES TAX CODE IS 3105 <br /> 1 hereby cerfily fhaf 1 have read and exemined this application and kno�v the same to be Vuo and <br /> correct. All provlslons o/laws and ordinances govom(ng th/s fype ol�+�ork will be complefed <br /> whefher spedCred herein or noL Tho granfing ol a pemuf does not presume fo give aufAonty to <br /> ��iolate or cancel fGr.Provisions ol any other sfafe or bcal!aw regulating consfruclion or tho <br /> peAormance ol construction. Thaf 1 am aufhorized 6y fhe ow�ner ol fhis prop=riy to peAorm the <br /> rvork ror whkh eppllcation!s made and 1 comp/y wifh fhe Slafe Con(iaclors Law 18.27 RL'W a,�d <br /> 29G.200 WAC. <br /> � <br /> i- V <br /> - �j� � � .1 <br /> i �l� '0^ U 7' J ' /. <br /> � ��,� ��r�� � Uate - � � <br /> � � <br />� -- <br />