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I <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 • , <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ���j �� � U�JC�CP�/l �c�y <br /> PROJECT ADDRESS <br /> �i2�nca�rfo � ��, G1u P�j�a�a�., 4/=;su.� Sinc, /O6/l E,,�.k,r�r.� 1�� E u?fC�-f i.J/1 4Ff?D �/ <br /> 0 ner Mail Address City State/Zip Phone <br /> /�l�r.�f o-� F.�rr�{ lDb�['J �r�e.ru�Je�� l,�/a�y' EvN,at�� i..lA �i�r90�1 <br /> Tenant Mail Address UtY State2ip Phone <br /> (�e°rry Nc�c� � S�„n SvS�e,�, s ��lv0 (-1QfJesc.a l�c�l C�zici-I-, t.JA `f'��o3 <br /> Eledrica C ntraCtor� Mai Address City StatelZip Phone <br /> �R RYNc�3 c 3 `�'D4H � � �Q Oc+ <br /> State License Number Conirad Price af Work <br /> �.,• I�� �r,r�;�.b Gl�r—"fd�er E.ler,�� <br /> Proposed Use of Buildi g Contad Person (Plan Review) <br /> Descriplion of VVork to Be Done: �•���c �� i ��Uw, '.�1�� {��rrz.t ( • "i -� ���cl c�,.1^« } <br /> -fo �ra.1G�s -{- -1 '.�.P -.-� '...hYc, � � <br /> —� <br /> NOTE: WIRING IN NOfJ-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 he2by certily that 1 have 2ad and examined this applicafion and know the same to be Gue and <br /> correct. All provisions o(laws and ordinances goveming this type ol work will be completed <br /> whether specified herein or not. The granting o/a permd does not p2sume to give authonfy to <br /> violate or cancel the pmvisions o(any ofher sfate or local law 2gulating construction or the <br /> peAormance o(construction. That!am authorized by fhe owner o/this property to perform the <br /> work lor which application is made and 1 comply with the S(afe Contractors Law 18.27 RCW and �/�� <br /> 296.200 WAC. <br /> u:.;�;��z<i�:;� ��,��,�� �x�� ��� <br /> S' nature D te <br />