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� � <br /> � .<<% I <br /> ��I%�� ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 2 "� 3- �S <br /> 425-257-881� - FAX425-257-8857 -www.everettwa.org ��c�Q2�Gy <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> 1 �.,r<� - �'� �� J '� �� l��'� - <br /> IPROJECT ADDRESS <br /> ' �--5 �f, �,l _ ��, -�h — 7'\ ��,� - <br /> Owner � M11ai1 Address City c���e�Zip Phone <br /> I / <br /> TenaN �-fail Address Cily Stale/Zip Phone <br /> r�Y�h ����-�►-,� t��i�� 3��Y-�xJ rt�.�-��c,1 _ �,�, ��. �.�o_3�s�',zv�>1'; , <br /> �— I <br /> Electrical ConlraClor Mail Address Cily StatelZip Phone <br /> (,'�t�� �L�FL�� tJ� � T � �� � � <br /> Slale License Number Contract Price of Work i <br /> � � F . 'G <br /> I � I <br /> � Proposed Use of Building Conlact Person (Plan Review) <br /> Description of Work to Be Done: �U`�� ��� ��� �� � � ���� l� � �� <br /> �i���� ;���,,� � (�� 1-�we ����- l,�c�hc�^� - I <br /> � <br /> , <br /> IJOTE: WIRING IN NON-DWELLINGS IS REQUIRFD TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. i <br /> CITY OF EVERETT LOCAL SALES TAl(CODE IS 3105 <br /> I hereby cerfi(y that I have road and examined thi; application and know thc same fo be Irue and <br /> r.orrect All provisians o//a�vs and ordinances goveming this type u/�t�ork�vill be compfefed <br /> whelher speci(ied he�ein or noL The 9ranfin9 0/a permit does nof resume to give aulhority to <br /> violate or cancel fhe �rovisions ol any other state or locsl Imv reguPfing const�uchon or fhe <br /> pedormance o/conslrucfio�.—ThaN�am aidhorized b the own r ol this preperty fo peAorm the <br /> �vork lor wh�tAfappliC�fion i�made an�'I mply wifl fhe Stale Contractors Lau� 7827 RCLN and <br /> 296200,Yt'AC. ✓j�./� �1 ��y� � <br /> �. � j Z �1� 7_ ��1 — / V <br /> � _. �✓ ' <br /> � � oa�� <br /> I Si;]n,, i <br /> i <br /> � � �� <br /> I . . ._.__ '_ '_'__—__'_ —_—__— <br />