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_ i <br /> ELECTRICAL PERMIT �,PPLlGATION <br /> CITY OF EVERETT PERMIT S�RVICES � <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-f3857 -w�vw.everettwa.o�g <br /> � <br /> APPLICATIONS ARE ACCEPTED FFOM B AM TO 4 PM � <br /> � � <br /> � , � � �,��y �- ,����,. _ <br /> PROJECT ADDRESS <br /> � - , — .� � �—� <br /> ,_. ��_ ; p ,, �l_ . , � , _ --- <br /> �� <br /> Owner �dail Address Clly Slafe.'Zip Phone <br /> Tenant Mail Address Ciry State2ip Phone <br /> �,y�� rn I�" G I -t-�-j''-�L �C�.j L6��fiST N� >TT�1JJui1)D l,�Jl� `�`h�i..`•l C.. <br /> [lectrical Conlrac�or Mai1 Address City State/Zip "Z�. �,� �Phone <br /> -� �S r �c� <br /> J <br /> �•�II('�1�r !���!) �� <br /> S�ale License Number Contract Price o(Work <br /> ,� �P�r- �c� <br /> Proposed Use o(Building Contact Person (Plan Review) <br /> i <br /> Descri,lion o(Work lo Bo Done: ��_���� 1� `'�;I' ")�'�� — <br /> I <br /> i NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> ICITY OF EVERETI'IOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily fhat 1 f tave read and exarnined fhis applicafion and know the sarne fo be hue and <br /> correcl. All provisions ollaws and ordinanaes govenw:g this fype ol work will be complefed <br /> �vheU�er specilieA herein or noL The granting o/a pemuf does nof msume to give authonty ro <br /> violafe or cancel the provisions oI any olher state or local law rr.guPating cens(rucGon cr the <br /> perfennance o!construchon. Th�t 1 am atrthoiized b}�fhe o�rner ot fhis propeRy fo peAorm the <br /> �voric lor which applicafion is made and I comply i+ifh fhe Stafe Contracfas Law 18.27 RCW and <br /> 296.200 WAC. <br /> � �� — ��„��� i." i 1 � — <br /> SignaWre Date <br /> I (�i <br /> ."1 � - �;, .; <br /> � � � � i <br /> i <br /> , __ . _ . ._ _ '__-' - -_ -'_ J <br />