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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVI�:ES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 I� a- a'-� � <br /> 425-257-8810 - FAX 425-257-8857 —wwv�•.everettwa.org C-D���`�, ' ) <br /> a-�i <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> - l /��� �%Y'iil/l%/! • <br /> PROJECT ADDRESS <br /> � <br /> � <br /> 1 i��y � '� l��G �'%G�1�C ��l%l���i���� G�/% %��� �'�3"/�G�: <br /> VOwne� Mail Address City Slale2ip Phone <br /> �,-�� Co� d 17�� ��w�2-�, (��� � G�/� ��20 ��— <br /> �Tenanl Mail Address Ci1y State/Zip � Phone <br /> �,�E �J/I/�✓� <br /> Eleclrical Ccntractor Mai�Address City Slate/Zip Phone <br /> Stale License Number Conlract Price of Work <br /> Prcposed Use of Buildin9 Contact Person (Plan Reviaw) <br /> Description of Work l0 6c Done: ,� � �' N/{'� . �.�/G�j � / ll/("/�l e�%i//,`�/�— <br /> I <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE 15 3105 <br /> I hereby cerli(y thaf!have read and examined lhis application and know the same fo be true and ,N_ <br /> correct. All provisions of laws and ordinances governmg this type o(�vork tvill be cornplefed L'� ) <br /> �vhefher specdied herein or noL The c�rar,ling o/a permd does nof presume fo give authority fo � :'���`t-'' <br /> violafa or cancel the provisions oI any other state or local law regulating conslruc6on or ihe ', � <br /> perfonnance ol construcUon. Thal 1 am authorized by the owner o/fhis properfy fo perform the <br /> �vork lor which application is made and 1 compty wifh the Sfate Contractors La�v 1827��W and <br /> 296.2001h'AC. \ <br /> i`� -' -_ .. ; <br /> ..�;5 — __'� �? � <br /> , t ` �. -, l. ' _ . - /��.�� <br /> Si�nStw e ��Date <br /> — ��' ,- - -- -- <br /> a �.t \� <br /> ���� <br /> . . . _. . _ . . . , .._: __ .. , . . . . . . � ....,: . ._. ... . � .�.�.:... � �, � ,r,��> �.,Y„�t..�... <br /> � ri�. � � .. . ,. . � <br /> �r.,�.19.aE%id�'i��a''.'�ti;�dL. �...t �:. L�i9��Y' �Y`'• •! adS:ue.3u�..,��t3�lY'• . �4h .�r. w-.4.Y::'ril�Y <br /> t�J � .7 b.,�l��h;r3�� y . � � ��{��� I�.r '� .! <br /> � �� " ,..... _.. � , ' � n <br /> @ . <br />{r^ �1��...."._ ' ,_. . .. ... ) �1 �2 .1�_'. . -.. _ .. _...__,. . :�S",�t'.ea�. <br /> � t�p� <br /> . . _ . ._. _._,_. <br /> �-�l<< � � . . , ;��.�ri�.xC�ik�Y.1. : ���.�-. . �. ` . A9�iP6 <br />