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� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT.WA 98201 �, �-a 3-0 7 <br /> 425-257-8610 - FAX 425-257-8857-www.everettwa.org C 070a�)�7 <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��9� C�<-��,�l�J'` <br /> PROJECT ADDRESS <br /> OWner Mail Fddress City Slate/Zip Phone <br /> ,�Cl:J/h=�tl�� • �t.f'c ��� ���/./J'aE% �/��Tr � �� $'-�/ qa's�1,s9 Gll <br /> Tenarrt MaA Addreas City State/Zip Phaw <br /> �//ci� �=f�� r,�%c `/l•%5"/�'�'i�.s,� Si✓c1��•r,-c-C ��i,cz �.r�C 5�-�l.S' ji � <br /> , <br /> ElecMcalConVaGOf MallAddress Clty State/Zlp Ptwne <br /> X� i_.�G�r���R9 �����. « <br /> St�le License Number � � Coniract Price ot Work <br /> Proposed Use of Builtling Contad Person (Plan Revie� <br /> Desixiipiicn of Work to Be Dore: ��- MC/:� I �� S�-✓.✓ �'�� Y� `>>/L ;/�, ��,t'.�T'c <br /> n / <br /> /�A ��J��_�.�'�Ll4-E !s� : ��i ��� ��t!/..�w/ /(.�4/ [=�L�.T.�•��✓:'c <br /> � Fsi�i,'_ �7,�',�N�' „y.0 �1 <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 J705 <br /> 1 here6y certily Ihat I have rnad and examined tNis applicatipn and know the same to be true and <br /> correct All provisions o/laws and ordinances goveming this type o/work will be completed <br /> whetherspeaBed herein or noL The granting o/a permd does nof presume to give authonty to <br /> violate or cancel fhe provisions o/any other state oNocal la�v regu/ating construdion or the <br /> wo�Ar�or whiCi appl,cafion s�ade and I comply w th fhe State ContracforsPLaw 1 B 27 CR Wt and <br /> zsszoowAc,l / <br /> ; , <br /> ,��, <br /> L�-�-�_....��-:. .�,.t`L�.t� �� �,�'� ��7 ' �7 <br /> S�gnature Date � �j .�:, � � � <br />