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t <br /> ELECTRICAL PERMIT APPL�CAT'ION <br /> CITY OF EVERETT FERMIT SERVICES <br /> 3700 CEDAR STREET, EVERETT, WA 98201 ����_ �� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> ����o�.�v <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> S'�� l/�-f%� �2 <br /> PROJECT ADDR SS <br /> �l c/�li l� ��ea�-�t-��.�s S� ��, �r°f/L� ��r�T��Jr/� �'�'nG� <br /> OWner A1ail ACdress City Stale/Z(p Phone <br /> ;�s�s �� <br /> Tenant Mail Address Cily State/Zip Phone <br /> ,v��t� i�:�t flf�l ;�o , ?,y ��z3 f,r�l��, -'s� u,4 f'�ri %r�s z��zz� <br /> Elecirical Contra::or A1all Address Gity Slate2ip Phone <br /> AJ£/l i<l,Q E 9�2 S5 zcYi� <br /> w <br /> Slate License Number Contract Prics of Work <br /> Proposed Use cf Building Contact Person (Plan Review) <br /> i ` � c <br /> Description of 1Nork to Be Dono: / t S'7G// �1 P y�.rf4/(CfcT Ot�� _ <br /> v <br />\ <br /> IJCTE: WIRING IN NON-DWELLINGS IS REQUIRED TO ��E <br /> BE IN W�.CEWAYS, MC OR AC CABLE. � <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby cerfily fhat 1 have read and examined fhis applicafion and know the same fo be true and <br /> correcf. A/l provlsfons ollaws and ordinances goveming fhis type ol work will be completed <br /> whether specil�ed herein cr not The granting of a permit does not presume to giva authonty fo � <br /> violafe or cancel the provisicns of any other state or local law regulating construchon or tho <br /> per(omiance of constiuc(ion. That 1 am a��5 wnzed by the owner ef Ihis property to peAomt fhe <br /> work Ior which application!s mado and 1 comply wifh the Stafe Contractors Law 18.27 RCW and � / <br /> 296.20�WAC. <br /> � S}i%/,i <br /> C � � <br /> — S� � Dale <br /> � <br /> �,s.,v.u.y-,..,--- .�._. , ,;'_�"�'� ;. .., � ' �+ ..p:"�s`'s ,+"n: _.'wk '°�y'+ �::�:_.""��c. ��.,._�„"35�. .��'��t ` �`�� .;�'T��l.�i��'.�Iti��1r� <br /> . � . v <br />