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l�LECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 3 �o l L.on,t �a �� A- �/e <br /> PROJECT ADDRESS <br /> i� L rre y�ro����el`�o ,w��- D �s�� 1ac_�-3o=gzz8 <br /> Uwner Mail Address Clty Stale/Zip Phone <br /> F���I< o�so.� 3�lDl �o»-,ba�P..!-�2 �"�.er� Wf}- zo�-�3o_4ZzP <br /> Tenanl Mall Addross City StatelZip Phone <br /> Z4�V S .wavsaw ct. <br /> �lec.�-ric� se�V�ct,.S �' �'¢Cur�� -Fy �� ���e �ll�A- 98io8 zo�-z��-�� y <br /> ElCclrical Conlraclor Mail Address City SlatclZip Phone <br /> � � e cf ss q3 / RG ; � - �- c��j �'� oao. o � <br /> Stale License Number Contracl Price ot Work <br /> Proposed Use o(�uildiny Conlacl Person (Plan Review) <br /> Descriplion o(Work l0 6e Done: � U� ra��±� 7F`'' z�A^'�P Z�'�00 9eaC�Ku rf S : 3 t 4. 2° �a.HP� <br /> V <br /> ze� 3o+�+xD 4ea lSa�..� 3. ($cse.+,�c-�.f Ren..e1�,Q <br /> NOTE: WIRING IN NON-DWELLINGS IS RFQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL aALES TAX CODE IS 3105 <br /> � 1 hereby certily fhaf!have read anA examined this app�icalion and know the sarne to be truo and <br /> conect. All pryvisrons ollaws and ordinances goveminy tlus type oI work�vill be completed <br /> �' whether spealied herein or noL The�rantinr�o(a pernut doe_ not presun e fo grve authnnty fo <br /> �� viola(e or cancel fhe Provisiens o/any other state o•focal law r�gulafing cunstruction orfhe � <br /> perfomiance o(construction. That I arn authonzed�yy(he o�ti'ner o/fhis property to perfo��n fhe <br /> work lor�rhich application is nmde and 1 cornply�r'i0:fhe Sfale Conlractor,:La�v 18.2/RCW and � �� - / ,> <br /> j 29G.200 WAC. ' � <br /> � Z� O� � <br /> ignalure Date <br /> Il '_ � <br /> f <br /> — _ .��,-. <br />