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---------------�---- ---- �----- --- <br /> ELECTRlCAL PERMIT APPLI�ATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 C[DAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX a25-257-8857 - vr.v�.v.everetriva org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ----------- I _� -Z----- --- <br /> � '122 � o �� � J-c �-c� �,J� . <br /> PROJECT ADDRESS <br /> -K���_�_�s1.� ,:� Ese re'� __�,)A �zs 2 s 2�� 3 <br /> Owner h:ailAdtlress Cily State;Lp Phone <br /> Kei -F � �i��� �,��-t wA - <br /> Tenant Ataill�ddress Gt; StatcZp Phone <br /> ��. I � i <br /> Electrical Contrac�or Mail Address City State2p Phone I <br /> I <br /> State License Number Conlract Price of Work <br /> Proposed Use o(�uiWing Conlact Person (Pian Revi�w) <br /> Descnplion of Work lo f3e Done. f J h Yl�Y��/ e-\ 2 c-t C l C�'1� � � G rLZ - - <br /> NOTE WIRING IN NON-DW ELLINGS IS REQUIRED TO � �� 1 <br /> BE IN RACEWAYS, �v1G OR AC CABLE I <br /> � <br /> CITY OF[VERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hc�oby r.crtily(h,�t I have read anAc.ramiried fhis application and kno�v fhe same fo Ge frue anJ ��� Q(�"' ��� � <br /> correct All provisions ol la�rs anA ordinancns governmy thrs tyn�o!werk will bu cornplefed <br /> whether specilied herein �r not. The granting ol a permd does nof presume fo gi�e aufhordy lo <br /> vfolate or cancel fhe prov�sions o/airy olhzr sfafe or local la�v regulating conslructien or the <br /> perlormance o/censlruction. 7hat 1 arn authorized'uy!he�o�rner ol fhis p�operty fo peilorrn fhe <br /> �verk for�vhich app6ratien is made and!r.omply���ifh!he Sfate Confractors Lau• 18.27 RCW and � <br /> 296.20C WAC. �. <br /> �;rmat —�-06��.-�� _ b /—O 1 ) �i <br /> � <br /> i <br />