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EL�CTRICAL PERMIT �PPLiCATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEREn, WA y3201 <br /> 425-257-8810 - FAX 425-257-8857-www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> -� � � : 1 /-� ���i,. � , l..' <br /> �; ��� — <br /> � <br /> PROJECT ADDRESS ��� '``� <br /> r,� l�.'L <br /> -, —, � � J. <br /> ��. I `���� ��i ,. . , ,�, , ; .�; 1 �-(.,,, ,� , . , ,. �; �/�-,�� f � �%-� <br /> Owncr �1ail Address Gty Slale/Zip Phone <br /> Tenant Mail Address City Slale/Zip Phone <br /> ,� �J/��J <br /> � <br /> C � ����--�_ (� `i� , � I - ,.- � �lt � � , , )-� �i *, � � �-l..:'D�, <br /> �„y d1" r�'�la 1 „�, : t �, � � r , <br /> Electrical Conlractor Mail Address Gly Slate/Zip Phone <br /> �� 1 � Ji �� T�—� ��� `-� ' � 1'� � .�����-'� <br /> Slale License Number Conlract Price of Work <br /> c (, _..�,� .�� <br /> Proposed Use of Buildin� Conlact Person (Plai Revie�v) <br /> � ! �� <br /> I � L.,�JV/ � ���" ��,-� V )l/C �� -.� r <br /> Descriplion of Work to Be Done: �,,,�i�l. ( � �'- � <br /> �— t � �� /� <br /> —� ���V � I ) <br /> , <br /> NOTE: WIRING IN NON-DWELLINGS IS REGUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 � I -� <br /> 1 hereby certify that I have read and exarnined(his applicafion and kno�v the same to be true and �—� ` `�� 1 I � <br /> cor�ecL /111 p�ovisions o(/a�vs and a�dinances c�ovenung this type oI work will be completed <br /> �vhether speafied herein or not The�ranting o(a permd does nol presume to give authonty to <br /> violafe or cancel the provisions o(any other sfate or locallaw rec�u l ating consWchon or fho <br /> per(ormance of construction. That 1 am authoiized by the o�vner o/fhis property fo perfomi the <br /> �mrk(or�vhich applicafion is made and 1 comply�vith the State Contractors La�v 18.27 RCW and <br /> 296200 WAC. <br /> � --- � ._ _ � '7���? � � % — <br /> Signature � � � 051e . <br /> :h <br /> J. <br /> ✓^ ` <br /> e <br /> �u L � .... .• � . a . <br /> . .. .� �. . .�. .., <br /> r � <br /> . m. .. ....�.' . . . � . . �.....� <br /> � <br /> 4t'Y. <br /> �. ...�.... . i.. .rv . tiv ., a . <br /> . <br />