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ELECTRIrAL PERMIT A���ICATION <br /> CITY OF EVERETT PERMIT SE��I�CES <br /> 3200 CEDAR STREET, EVEREIT, WA 982U1 <br /> 425-257-8810 - FAX425-257-8857-www.everettv;a.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM 5 _ � 6 _L� <br /> C:0 7�S�7U <br /> /`� � ��U��f S.�LE.�..� c..J�9 �; <br /> PROJECT ADDRESS <br /> Ownef �dail Address Cily StaleJZip Phone <br /> �J �� � '-'�'] <br /> Tenant —� Mail Address Clly State/Zip Phone <br /> �s� e,� {�.� ��«-F.e�. .�� F�,�.z�� 5.�: ���,�,4 ��� 5'�1y, �y�s�.33r-�yS:� <br /> ElectriCal CoNractor Mail Address Cily Slale/Zip Phone <br /> n r, ��� <br /> /-!�S � C c f� J L�.JL 2J�`"3c �— <br /> Sla�e License Number Conhact Price of Work � <br /> Proposed Use of Building Conlact Person (Plan Review) <br /> �_' 1 ��7� <%? <br /> Descriplion of Work to Oe Done: ,�" �/J�J�J P-1 (� ..� <br /> NOTE: W IRING IN NON-DW ELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS. MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> !hereby certily fhat 1 have read and examined Ihis application and knoiv fhe same to 6e true and <br /> correcL A/l provisions of la�vs and ordinances govenung this rype of�rork will be comp/eted / �L� <br /> whefher spea�ed herein or nof. The granting o/a pemut does nof presumo to give authonty fo �ti� – � <br /> violate or cancel flie provisions ol any ofher sfafe or local law regulating consfruction or the r�L <br /> peAormance oI consUuction. Thaf 1 am authonzed by fhe o�vner oRhis properfy to perfonn ihe <br /> work for which application is made and 1 con�plv with the S7afe Confractors Law 18.27 RCW and <br /> 29G.2D0 WAC. <br /> � �, <br /> r�;'� ,., �.�,..�� ��,� � � � <br /> Sic�nature L�alo <br />