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07/16/2014 WED 15: 1� PAY m002/002 <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREfT, WA 98201 <br /> 425-257-8810 - FAX 425-25T-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � `�L��// <br /> O 7 <br /> C-1 yo��/l�/ <br /> L� i��V��-N �I�ca�l l�`� a �u,� 1Dt� _,� �— <br /> PROJECT ADDRESS � <br /> ��S u���+�,v��l LI .�A�a,�..r�aat� ��t�', t,��(�2D� �5� <br /> Ovmer . Mall AdOmss C�ry SlalerLip Plrone <br /> Tenant Matl Addross Ciry StateRJp Phone <br /> l�L�� ��1�C�1�1��i1p�4s�r��l���,� ���7'� �I ���I� � � <br /> EiectriwlConVador Ma1lAddress ty . S telZlp Phone <br /> ���������� <br /> Stateticense Num er Contrad Price of Work <br /> �W � <br /> Propos Hse of Building �- � Contact Person (Plan Redew) <br /> Spuare Footage(If residenUal new consWction,rertrodel or a dition) <br /> �ascription o1 Work to Be Done: ���I IY1 \3'� Y X� `��.�l.��J ��I' 1� ��(�+'W"� <br /> NOTE: WIRING IN NON-DWELLINGS IS REDUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> �� -� D <br /> CITY OF EVEREiT LOCAL SALE:TN(CODE IS 3105 . <br /> I hereby certily(ha(!have�ead and oxamined fhls appfication and know fhe same!o be trae and <br /> corred. AIl provislons o//aws and ordinances goveming fhis fype o/wvrk wilf be compfefed I � <br /> whethBr Speci(ed herein or nof. Thn granting of a permrt does n�.�prc.sume fo givo authoriry to fj I �O �� ( <br /> violateorcancelfhopro visionsoferryothers(afeor/ocallawreg�:•�lingconsWcGonorfhe t� <br /> ormance ol construdion. That I am authonrod by fhe owner o/fhis properiy to peAorm fhe � <br /> k!or whic pplicaGon is mede and I comply wi(h the Sfate ConVacYors(aw 18.27 RCW and <br /> 9 200 WA . <br /> ' �I� <br /> Sgwlure ato <br />