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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SER.VICES <br /> 3200 CEDAR STREET, EVERE'fT,WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � 3r,�� y�'o� �� ���.-/ <br /> PROJECTADDRESS u� �`�,(Ja�� <br /> ,�%�'i��£ ��,e fr/�t c3 4.3 ��.�. ,�� �w` 9�'3 <br /> Owner MailAddress Ciry StatelZip Phone <br /> Tenant Mail Addross City StatelLp Phone <br /> � � <br /> /� `�' �G-�i�3 9�, <br /> ��r-�J �•LJ�F.e�.C;sfs /,�<� �U o ,:. „w�// %� a4,�7, <br /> Electdcal Conlractor Mail Ad�ss Gry Stale Ip Phone <br /> �1�4,Ppj,/ � /,%�/r'�! �,/,.�/3D' <br /> � State License Numher Contract Price of Work <br /> � �/� — <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description af Work to Be Done: /�.���6��L�?��?G-(' <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETJ LOCAL SALES 7AX CODE IS 3105 <br /> I,h�reby certily that f have read and examined this applicafion and know the same fo be true and <br /> coaect All provisions of iaws and ordinances r�overmnc�Ihis lype ol work will be comp/eted <br /> whether specifed herain or not. The granfin�ol o parmR does notp resume to give aufhonty to <br /> violate or cancel fhe pmvisions o1 any other stafe or local Inw regulefing constnfction or the <br /> psAomiance o)conslruction. Thaf f am aufhonzod by the owner ol lhis proporty lo peRoim the <br /> work lor which epplicafion!s made and!compty�tidfh U�e Slale Contractors Law 18.2i RCW and <br /> 296.200 WAC. � <br /> �/j, ' /�' ,� / /G <br /> /fii�.�� /� � /Q� >� � ��.3 <br /> Slgnalyt � Date ' <br /> / <br /> (�o/ - / // <br /> T •d bE58ES909E �S���at3 uotzoy dEZ �zi 90 EZ �eC <br />