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I°/lU%PO1P II :Y6 P:1S a?:i 37i ISli6 Nli\ 1?I.GC'f1�IC �001 <br /> —� <br /> LECTRICAL PERMIT APPLICA�ION I <br /> E , <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> /5ao �r�dvs��v 5�-��� <br /> PROJECT ADDRESS <br /> Tr���c /����-�i.� /33�9,Q,2��,���-�L�,s�w ��q�/�-,6�- 9g��Z <br /> QATOt � MailAddresa Cit� S1ale/7Jp Phone <br /> �,CUO ' �O !n � /vl00 �A� v�{� l.uf���d3 <br /> Tenant Ma AtlEress Ciry State2ip Phone <br /> ���E1P.�r.�5���� �ii,�-i9�'s-,vE /��'�e�s t,�A- 98z5g �l�-�'a-�� <br /> EledricalContreclo� MallAtltlmas Ci�y Stale2ip Phone <br /> R��y�9G�-�✓9 �� D�S <br /> S1ale License Number Contrad�of Work <br /> �,✓A/1�//G✓5 <br /> Proposed Uce of BUllding Contact Person (Plan Review) <br /> /- - , <br /> Description o Work to Be Oone: �CC Y�i� � ��� � s � ����^ <br /> G , �' ; ES (J �G.G e�. <br />._, 2 <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIR[D TO FEE <br /> BE IN RACEWAYS,MC OR AC CABLE. �� �_ <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3106 — <br /> I l�ereby certily that I have raed ond examinod this application and know fhe samo to be We and <br /> correcL All p(ovlsions ollaws and ordinancos goveming this type o�work will6e completod <br /> whether specrf,ed herein or nol. The granting o/a pemut does not presume to givo euthority to <br /> violoto or cancel fho pravisions of eny other stafe orlocallaw iegulaling cons(ruction or fhe <br /> parformanc�o7constrt�ction. That I am authonzod by tho ownoral thispro porfy to pedomt tho <br /> work Ior which app;;cation is matlQ and 1 comp/y with(he Sfofe ConlracYors Law 18.27 RCW and <br /> 296.20D WAC. <br /> I <br /> i �lj,l� /��a1��2 <br /> Ipnaiufe ate <br />