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_. _ � _ ,� -o� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PEhMIT StRVICES <br /> 3200 CEDAR STREtT, EVERETT, WA 98201 �n <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �I���� <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> v�� <br /> S E — e re l� � 9�8�v�( <br /> PROJFCT P.DDRESS / <br /> �ao t,� <br /> l l�er ` I sui /37/h .�l � ST SF_ Jrro oM%s�i (�/,Q 9�d%(o Yab _!d/3 <br /> Owne�� Mail Address City S�ate2ip Phone <br /> Tenant Mail Address City State/Zip Phone <br /> �.z�e� <br /> �l�rn5rn .��a���;�_ y�ll�S" ��=�5T,��u,�f�,� /c�rn�� `1.4 �OS�3 �35-87d� <br /> Elect:ical Contraclor Mail Address City S�ale/Zip Phone <br /> yQ,RAsE�����. e �ys �� , <br /> State License Number Con�Price ot Work <br /> �PSv�/_r1�.',y � fPsi�Qc/�ces .S�_ �G�,insrr (��Z) ��5^k)„?.Z <br /> Proposed Use of 8uilding Conlacl Person (Plan Review) <br /> Descriplion of Work lo De Done: � �, i. �'�i1G{�,rrh S' �O �/�/� �o.�����/L-� <br /> _ � <br /> ��;k,HC�, <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN I�ACEWAYS, MC OR AC CABLE. <br /> � �� <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceRily fhat 1 have read and exnmined this application and know the same to be true and <br /> correct. All provisiorts ollaws and ordinances govemmg this type o!work will be comple,ed � <br /> whefher specilied herein ornoL The granting o(a pennd does not resume fo give airthonfy to � <br /> violate or cancel fhe provisions ol any other state or local la�v reguPting construc6on or the � <br /> perlo•mance oI construchon. That 1 arn authorized by fhe owner o(this property fo perform the �� <br /> work lor�vhich app/icafion is made and 1 comply�vith flre Stafe Con(ractors La�v 18.27 RC W and � <br /> 296.200 WAC. <br /> v/d,/� c� <br /> Signafure Uate <br />