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� �� .�a �� ����i� +0. r WK� <br /> �'%��T .�:kRLY'. <br /> �t �Y &. 754�,.: i . . . :'r <br /> •<\.�.� _:.'°rH"a altt .. r . . __ _'_' <br />:.:>„:�: <br /> y.::ti«. <br />��r.;. <br /> ELECTRICAL P'ERMIT 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 /> q5�7 �,v � �� �� <br />'`'�r� PROJECTADDRESS <br />�::,' <br />�:;fzir;:.� <br />�tYf�.� <br /> Owner Mail Address Cily State/Zip Phone <br /> �/�l//In/, in � Y1 �� ��.'lC` �S{j�'-C'� 11 <br /> Tenanl c�T � Mail Address City Stale2ip Phono <br /> �t�Cc� �`��c-e �� •�5�� c�r�R ti�r��il-ttS ��1 %�2-SZ- <br /> EleclricalConlraclor MailAddress Cily Slate/Zip Phone <br /> 3t���i-�rr3�� <br /> �C�i�.�c �� i:3 i o iJ � f'�d <br /> Slato License Number Contract Price of Work <br /> /� � <br /> J:�-IV.�J1���-- <br /> Proposed Use of Buildinc� Conlact Person (Plan Review) rcw <br /> f"`. <br /> / � � /� ,, / �� � <br /> Description of Work to Be Done: �/L0��'�/��,�C�'i» �7 y� r .� <br /> ��l.�.C� �.(��r'��t=— �. ;,�� <br /> i'H <br /> `;+ ..a <br /> '� <br /> � _ <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE ',:i;'I, <br /> BE IN RACEWAYS, MC OR AC CABLE. ' <br /> �;;;:•_., <br /> MX <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 / / <br /> 1 hereby certify(haf I have read flnd exarnined this application and kno�v the same to be tn�e and �L � L t — 1 �--Z� <br /> - . correcL All prov�sions o(laws and ordinances governrng this type o(work�vill be completed <br />:�'�y�����- whefher speci/�ed herein or noL The grantin�o(�perm�t does nol presume to give aidhonty to <br />:```:�,5 i v�olafe or cancel the provisions o(any ofherslate orlucal law regulating construcfion cr the <br />' '��" �o��7or��vh ch�cor sfafior�is made and�l com�IZ t�th fhe Stefe Contiecforspla v 18 27 RCW and <br /> 296.200 Wf�C. PP P Y <br /> l / � � <br /> ������ �.��� �r�,.��..�- ,� ll <br /> s�9�,�w« o��e <br /> — Ft � ,�� <br /> � r �*; F:, J t � 1.3��'•� 1 � V.i�°� yt tl�\\ a <br /> �`�$ z <br /> ",l.H+r NL �� � �z s �i- �. ,r a �..�8��� a ���^ � � � .�'��, <br />