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� <br /> ELECTRIC <br /> AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 1 ��—�Z' <br /> C-��4 -�uS <br /> ���f ' �18i3 <br /> =t�-1�S' �V'a2 C�2L-CrJ w A'1 <br /> PROJECT ADDRESS <br /> Owner Mail Address City State/Zip Phone <br /> "�� M06i Vt �� 3 EVC1Z(�QCCN �...h`� EVc2c"iT qp�3 <br /> Tenant MailAddress City Slate/Zip Phone <br /> 11p ZOG �$S <br /> N�W LIEE ELEC'Iil-�G LLL S7Zg I17�� STS� �VG�E1T WA I$Zr'$ 36D6 <br /> Eledrical ConVador Mail Addreu Ciry Steterzip Phone <br /> /� O� <br /> N�Wi�� I.0 F'j^1Z'S � I Ir��� <br /> State License Number ConlydG Price of Wo�fc <br /> i <br /> 2�,�L �N-r�o�y ooe� <br /> C�NMG <br /> Proposed Use af Building Contad Person (Plan Review) <br /> Description af Work to Be Done: '��"'h''�r � M P P.ovi M c N� � N�=W { — .Ko B! L E <br /> -�-U� �!' �I A F1-I-i✓��t ��2 C eTC�eC' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. � � O �Q <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 310b <br /> 1 hereby certily that 1 have read and examined fhis application and know the same fo be hue and <br /> conect All provisions o(laws and ordinances gowming this type of work will be completed � � '� O(.�_ 1 1 I S <br /> whether specified herein or not. The granting of a permit does not presume to give authority fo 1 `'t <br /> violate or cancel the provisions of any other state or local law regWafing construcfion or the <br /> performance o/cronsirudion. Thaf I am aulhorized by the owrrero(fhisproperty fo peAorm the <br /> work for which application is made and I comply wifh the Sfate Cantracfors Law 18.27 RCW and <br /> 296.200 WAC. <br /> ./�j �''�'+ yl ?o�►y <br /> —8�iature Date <br />