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JUIl-1-��Go �6:OSA FRL19:F'ROFESSIONRL ELECTRI 560 4�5 1182 T0:4252578857 P. 1 <br /> � � � <br /> � ELECTRICAL P�RMIT APPLICATION <br /> � CITY OF EVERETT PERMIT SERVICES 6 --i�o6 <br /> ! 3200 CEDAR STREET, EVERETT, WA 98201 <br /> � 425-257-8810 - FAX 425-257-8857 —www.everettwa.org E o 60 6 -OQ 3 <br /> � APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM - DEBIT& CREDIT CARDS ARE NOT ACCEPTED <br /> : � 505 � ,�-�s s <br /> PROJECT ADDRES <br /> I ' <br /> � <br /> i �1 �'1�:--� (�6'f� � (�'.QP?11 D� l�A. �'I� 2!� <br /> i Owno� Mall Addmss City Slale2lp Phona <br /> i _---�-- <br /> � Tonenl A1ali Addresc Clty Stalo2lp Phane <br /> � �►`���ss�or�.9 C� P�I�mcu(�i �I,�w,1-m �� ug�3 4�z�� <br /> � <br /> � Eleclrica CoNraclor Moll Addrees Clly Stato2lp Pnono <br /> � ����2.�Z n�� � � � 25�� <br /> � �tato Ucense Numbor CONract Price of Work <br /> � n <br /> � ��S��Y1�¢_ �lhll('�C.�A.hnPn 33�ZSZb <br /> � Proposed Use of BuiWing Contact Parson (Plan Revlew) <br /> iDescripUon of Work la Be Done•„xa �1F21r r�Q(� � p{'V�(�fTfGLRN {�(T,(}U�._. �-p} <br /> � <br /> I <br /> i <br /> I <br /> I <br /> i <br /> � <br /> � NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> � BE IN RACEWAYS, MC OR AC CABLE. ,j�( ��,�y , <br /> � rr �,v <br /> i CITY OF EVERETT LOCAL SALES 7AX CODE IS 3705 <br /> I I horeby cortify fhat 1 have read end exemined this applicaflon nnd know fhe samo to 6o truo ond <br /> � correct. All provislons ollaws and ordlnencos goveming thls fypa o(work wlll be complefed <br /> � 'i whefhor spocified heroln o�not The granting ol e permif does not�rosuma to give authority to <br /> vlolafe or cancol the Provisions oI eny otherstafe orlocollew reguleting consWclion or the <br /> i POAormanco o/con5fiuc0on. Th�f I am euflianzod by fho owner of this proporty fo podorm Iho <br /> ; work lor which applicaflon is motlo and I comply wifh fho Slafe Contraclors Law 18.27 RCW and <br /> I 296.200 WAC. <br /> � � � <br /> I 5�8� le . <br /> (F b(e " � <br />