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ELECTRIC�.L PERMIT APPLICATION <br /> CITY nF EVERETT PERMIT SERVICES � � � 3 -�z <br /> 320� CEDAR STREET, EVERETT, WA 98201 � , zo6-o7y <br /> 425-257-8810 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Z� j�.�—. L.-.C t�.l t-�t��'�.17 f1 V�- <br /> PROJECT ADDRESS <br /> 4=5" <br /> � P.1(� �'I� �-v' 1� L��J�ti �'hHi.iP� l� "' 33Z ��'kt3��2D i=V iz1F� `Z` ��i •'-'iZ i�-3y <br /> n Mail Address City SIaL/Zip Phone <br /> Own�r <br /> Tenanl Mail Address City State/Zip Phone <br /> i � G Q i tJ C, �i U-%Iti � ��' '�! 1 �-i�� 2':���..- Y` l7 <br /> / ��-C�i N I l� I�I.L.-i. I LI �, Fhone <br /> Electrical Contra or Mail Address City Slate/Zip <br /> �K� oC <br /> !/�� ��� <br /> �L�l,l-i N�= L � (` 3 N � <br /> State License Number Contract Price of Work <br /> \�u I�—�I'� — <br /> Proposed Use of Building Conlact Person (Plan Revie�v) <br /> Descriplion af Wark l0 8e Done: <br /> � / �-c' �'c� I �0 �I�t1' � hYAJ�- L1i- 1 <br /> .�, i �l.�l� 1 S.. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE s,v <br /> ,I BE IN R.4CEWAYS, MC OR AC CABLE. �� C, _� <br /> ✓ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 �� � / _O� � <br /> 1 he�eby certi(y that 1 have read and ex�vnined this application and know the same to be trua and CO <br /> correcL All provisions o(Iaws and ordinances goveming this fype o(�rork will be cornplefed <br /> �vhether speci�ed herein or not The c�ranting of a pernut does not presume to give aufhonty fo <br /> violate orcancel tho provisions o(any ofher sfafe or localla�v rec�ulating construcfion cr the <br /> per(omiance o(construction. That 1 arn authorized,by the o�vner o/this�roperty to peiaorm fhe <br /> �' �vork lor which application is made and I comply�adh Ihe Stafe Confracfors La�v 1 N.�7 RCVV and <br /> i�i 296200 WAC. <br /> � - G - � � - ( ? <br /> / igna ur - \ Date <br /> �/ — ---- <br />