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� �. <br /> ELECTRICAL PERMIT APPLI�ATION <br /> CITY OF E�JERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8A57-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �c�io S!= C�-e��hl- �� il �«� s�rf� 2 �c� <br /> PROJECT A�DRESS � <br /> Zv(o. L! - <br /> � ��`5 1 <br /> L,MC�L.S :D10 �i.= /_-.-�rv1�/M.��� �Uc�-� i��n�f' lN .'�' g$fZ�iC <br /> Own2� h7ailAaUress City StateiZip Phone <br /> �`�t�l�- 7D iv S�' e�4ar.�-E'�l�k�l�i ��•.•r�rF� �il- `�'ES 7e:i� ti Zj-7�� — <br /> Tendnl MailAddress ���;t_t z�� City SlatelZip Phane 7- � y0 <br /> �=c��}:�� tU� 1�NJ.L.'c.��:r.�� �:,rc. )7v13rn. 1 �u'S'3 Ya�1� C'r.,r(t u/,�- 5'S[:i z 4z7 ' �, <br /> EleclricalCoNrector htailAddress City Slate�Zip Phone " ��l <br /> �RSI-Sc i R G�r�vss � 2 i vc� ,, ,., <br /> Slate License Number Conlract Price of Work <br /> . � <br /> r%.� ,xP �i'�4[F �l�-v �`ti . ,Z-/ � <br /> Pr p d Use of 6u li tling Conlact Person (Plan Review) <br /> Descnption o(Work ta De Done: 'a.,,.��;�// /`( t�.`n� 17 fJ<�.+e� /��,-�%-/�- d"tcr�- <br /> � <br /> W,y»t C����% ��J:"t Sa: a�t! 1tiJ��.n '�� �CJn . <br /> i <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I heraby certify fhaf 1 have read and eeamined fhis applicalion and hno�v fhe same fo be lruo and <br /> conecL All piovisrbns o(la�vs and ordinances govemmp lhis type of wod<<vill be compleled <br /> �vhetlinr spea(ed herein or nol The granfin9 of a permd does nol presuma lo give authonty fo <br /> violafo or cancel tlte p�ovisions o/any other slute or local la�v rcyulahng consUucfron or fhe <br /> pedonnance u/consWction. Tltal!am aufhorized by thn owner o/fhis pioperty lo pedoim Ihe <br /> �vork(or which applicalion is made and 1 canply�uith the Sla(e Confractors Lmv 18.27 RCW and <br /> 29G200 WAC. <br /> �-'�-.—� �-�. �'� �c��s-o(c� <br /> Slgnalwe Oata <br />