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) -rz -� �, <br /> EL�CTRICAL PERMIT APPLICATf�ON <br /> CITY OF EVERET� PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 96201 <br /> 425-257-8810 - FAX 425-257-8857—tiwrw.everethva.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM -DEBIT$CREDIT CARDS ARE NOT ACCEPTED <br /> ��(�S <br /> ��:lra� �r���,v � V� in.�.,l ��nvo#�—�',, `�2D� <br /> PROJECTADDR SE S ' ' <br /> r��.,�,�,+�����r_x��;s� . Pv r`�X ? �� �c���.�-u kt- u� r�- ���3 �4z�l;�-�r ��k' <br /> Owner MailAddress City � State2ip Phone <br /> GH� VC�CR��[�Yt0.� FiIC,,Q •,• �\ ,� �� <br /> Tenant Mail dmssi City SIatNLp � phone <br /> 5c�n�tro\ t�c�_i�i G 22_11 (`c,l��vr�\i��,� � Vp �o{�-��l�i 1`�7A1 �U7�lZ�'i"�;,5 <br /> Electncal Contracror Mail Addreu Ciy 5wie2ip �� Ptwne <br /> SoN �T�-�rZl1 NW � �Z-�5 ��� <br /> SWIe License Number Contract Pnce ot Work <br /> l� VIL�. C 1 l w�1� �1�R �ti1��IM���r <br /> Proposed Use of Building Contact rson (Plan Review) <br /> Descriptian of Work to Be Done: ��p Q Vcx c a �KGt �Yl P ' �� n ` ��,U 1( l� 1(,lL'�t <br /> SC'Ll.l_(��U � U�i�i' kv\ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN R,4CEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hemby ceMily that 1 have read and examined fhis applicafian and tinow the same to ba tme and <br /> conect All provisions ollaws and ordinances govemmg this typo ol work will be complefed <br /> whetherspeafied herein or noL The granling o/a permR does not presume to give auLhonty to <br /> vio/ale or cancel the provisions o!any other slate or local law regu/ating consWcfion or fhe <br /> pedormance olconstn�ction. Thaf I am aufhonzed by the owneral this property fo pedorm fhe <br /> work!or which application is made and!comply with the Stafe Contractors Law 18.27 RCW and <br /> 296.20 WAC. <br /> ) <br /> � , � <br /> �� l 12 G(a <br /> igna urn ,i � . ' <br /> .�fl �,. <br /> ���- <br />