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ELECTRICAL PERMIT APPLICAT[OiV <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STP.EET, EVERETI-, WA 98201 g `a b-iv / <br /> 425-257-8f310 - i=AX 425-257-8857-www.everettwa.org G/pv g—/Sb� <br /> APPLICI.`i IONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> r—� '� i , � �, i -� i �.� G-t-^/`I- � 7Y�-�� <br /> ,_� v �-- � L :c. � 1 �y- c� i� r ,J G�.� .— Z�f%!c./' � ., <br /> / <br /> PROJECT ADDRESS � <br /> ��//�-��� ����-�/j����� %f:�'��'-�- �`"(,.1�'��--`'-- <br /> Owne)� � � h1ail Address Cily Slale2lp Phone <br /> /i���j�j-� /���C'���(/> / � � <br /> ��,",� L r,��y <br /> Tenant Mail Addrass Cily Slale2ip Phona <br /> a Z�- <br /> ��a,�,,.rr� ��c-�-r ;='v r.;c�x L�Ico c%rz� GJp `�dZ/3 zsZ-�$�(n <br /> EleclricalConlraclor Mai�Address Cily State2ip Phone <br /> �•`����.' ' " > <br /> �-�-✓cl .�� i�C_ l Z£��CL <br /> Stale License Number Conlrect Price of Work <br /> Proposed Uso of Building Contact Person (Plan Review) <br /> Descripllon oF Wuk to Bo Done: L/�!lT/tiG �����=i� <br /> ,; ' � '' � <br /> i. � � <br /> ��,��i,�-- � , � — �!�.�-�',c �l�'--r c - <br /> 1 <br /> NOTG: WIRING IN NON-DWELLINGS IS REQUIREQ TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> G- <br /> I here6y certi(y fhaf I havo read and examined this application and kno�v the sama to be truo and �� G'C 'S- � � � <br /> correct. All pmvislons of/aws and ordinances goveming Giis type of work�vill bs complefed <br /> �vhether specified herein or not. The granfing of a permd does not resumo fo give authonty(o <br /> violateorcancelthe provislonsofanyofherst2toorlocallawreguPatingconstrucfi�northo <br /> peAom�ance of construction. That 1 am aufhonzed by Uie owner o(thls proporty fo pedom�(he <br /> work!or�vhlch application rs mado and 1 comply�vitb the State Contractors taw 18.27 RCv✓and <br /> 29G.200 WAC. � <br /> �� � � /) � <br /> ;l,��t�'�� � �i.f� �'/ZS /0 <br /> SlgnaWre Dale <br />