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�LECTRICAL PERMIT APPLICATION <br />ClTY OF EVERET'I' PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX425-257-8857—www.everettwa.oig <br />� -'3_�, 7 <br />APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />_�,-� � —, <br />, � i\ �� t= �_ `— <br />PROJECT ADDRESS <br />Tl-�cf-;i�:; rir; ;',� ,.; �II G n.v�c-� <br />O�ti�ner Mail Address <br />�j' 7G (a — v�( 7 <br />� v�-,,�� �� � �o �- vr� <br />Clly Sta(e21p Phone <br />Tenanl Idail Address City State/Zip Phonc <br />��� CS�t �5� L <br />1�✓/l�L I'JUi:Y:'- E��;� �k�� J(. �7 �.7 �/liJ-6✓o ���a-� ,v c' '�� c� 3 ��7�}1cZC W,�1 9°ul I <br />EleClriC21 ConUaC�ot Mail Address City State2ip Phone <br />/.�� l� � VJ � �`1 `i U(__ rl <br />Slale License Number <br />��<>> �J� /JTI ��t_ <br />Proposed Use of Buiiding <br />ConUacl Price of Work <br />Contact Person (Plan Rerie��r) <br />Description of Work lo Oe Done: ��-��Z ��� �� �- � ���-� � � � � L�'�"��I (��=G� ;-� /1 t%1 i tl G �.%�-� �-- � <br />� V� i i-t t�7 %/�C ��� �C. r � l-� 17Nc� /N /Z Zi�c-7� 1 e�iJ �o c� ,:�1 /� ��? l/ �Lr �_- <br />} o � � :'1 <br />L- � -I� <br />NOTE: WIRING IN �JON•DWELLINGS IS REQUIRED TO FEE <br />BE IN RACEWAYS, MC OR AC CABLE. �� C� <br />, / <br />CITY OF EVERETT LOGAL SALES TAX CODE IS 3105 <br />I hereby ce�tily that I have read and exarnined this applicafion and know the same to be frue and <br />cormcL All provisrons o(la�vs and ordinances c�oveming fhis type ol �vork will he complefed <br />whether speufieA herein or nol. The granting e/ a perrmf does not resume fo give authonty to <br />violafe or cancel 0ie �: ovisions of any ofher sfate or;oca/ la�v reguPfing cons6uction or fhe <br />perfomiance ol construclion. That 1 arri authonzed by Ihe owner ol this property (o pedorm Ihe <br />�sorla Ior �rhich applicafion is rnade and 1 comply �vifh the Sfate Contractors Law 18.27 RCW and <br />296200 INAC., <br />/. �,'.-' i�'� , <br />i; / <br />� �,. , t �r %:Z"-�' <br /><.% . _ -� <br />C.. : > c <br />j_(.%UC� �`f, <br />