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� - f <br /> . <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 /> ���G`d - ver , t`z�✓� t,L'qy , CvtYetl �v1 'iSZ�X� <br /> PROJECT ADDRE . <br /> �r•� «- i��« {�< < uc,w-�e,� 1�.�.V�� �S'"23`Y'L �E�,�r- � � <br /> 6.�i���'L�ZrS� �/2S. �.-�5,� "7 S1 <br /> OWner Mail Address Ciry State/Zip Phone <br /> Tenant Mail Address City S�ale.�Zip Phone <br /> �%�Y�� �n' <� c�' ���� �Z}� �oi:�4v 7'� ����A�� C..��'��2c�1���� r�lb� 32`I'2a <br /> ElectnCal ContraClof Mail Address City Stalel 'p Phone <br /> i <br /> Sn��E ��� -��z���r� �' �7�11b . <br /> State License Number ContraIX Price of Work <br /> Proposed Use of Building Contact Person (Plan Review) <br /> � �� <br /> Descrip�ionofWorktoBeDone: -1-���``��` ���_`-"�Lr'���� �"�' lu.���� C��•��� ��'�� <br /> U G`� N: � CPn�iV cl f�V-FO ZO.�c. I'��i I��'1 <br /> <_� r-�t) �J�.J�'J . J-� b Cc.,u�,.�I <br /> -6� -IY114.�\� T�D' C�O.v�.i.L'1 '�L•C5. <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 3105 <br /> I here6y certify that 1 have read and examined this application and know the same to be hue and r � � uZ' vs I <br /> conect. All provisions of lews and ordinances goveming this type of work will be completed l/ <br /> whether speci(ed herein or not. The granting o(a permd does not resume to give autho�ty to <br /> violate or cancel the provisions o/any other state or local law reguPabng consWction or tr�e <br /> performance ol construction. That I am authonzed by the owner ol this propeRy to peAorm the <br /> work Iorwhich application is made and 1 compty with the State Contractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> � (� � <br /> � \ I(.l,t����i1���1/� `' � L� � � <br /> Signature Date <br />