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� <br /> ELECTRICAL PERMIT ��PPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, V��A 98201 <br /> 425-257-8810 - FAX 425-257-8857-�vwvr.everettwa.org -� -O b-d�o <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM (j-Q(�b7 OIj <br /> � `7�,2 G'C�L r3./ �(��E �/25 <br /> PROJECT ADDRESS <br /> �o�_��D�� �� �s- as � ���� <br /> Owner Mail Address City State2ip Pnone <br /> � 72Z <br /> _�ct �vri:o_� 7�7`c�.v 4��g.� �vt� �'U�,�� <br /> Tenant Mail Address City State2ip Phone <br /> Z� <br /> ��r ��l'i�i �i�9'`a�� �/S A'�57' �v��� av�4 �2 l2 v� <br /> Eledncal COntr� Mail dmss City State2ip Phone <br /> ��v� � ��- O �'1 �f� �j- �. c� <br /> State ice se Number Contract Pnce of Work <br /> ��!S t l�-�Cx�S, S%v7�1 ���1 bfA'�,f' <br /> Proposed Use oi Building Contact Pereon (Plan Review) <br /> Description of Work to Be Done: �N'C/'�-�'C �1 ��Cl� C.�C7N�� {'�O�(�� <br /> . <br /> � �CLn <br /> / <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certi(y fhat 1 havo read and examined this application and kno�+the same 10 to hue and <br /> correct. All prcvisions o(laws and ordiaances govemmg this type o(work�vill be comp/eted <br /> whether specified herein or noL The g.�anting of a permit does not presume to give aufhonty to <br /> violate or cancel tbe provisions ol any other state or local law regulating construclion or the <br /> peAormance o/conslrucLon. That 1 am authonzed by the o�ro�ner of fhis property to pe�lorm the � � <br /> �vork for whi application is made and 1 comp/y wifh the State Contrectors Lan 78.27 RCW and - �_ i — <br /> 296200 W . � .� �� <br /> �v <br /> �I. ' l.��'1 <br /> gnature Da e <br />