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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 y� I--/f <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org � I/ ` <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM G y � � <br /> G - I I o y -c���, - Z tv Z �! � L-t ,2�-�c i�h;-c <br /> PROJECT ADDRESS <br /> < <br /> ,�c�c=��.-�S ���G��..�v� � <br /> i OWner Mail Address City StatefLlp Phone <br /> Tenanl Matl Address Ciry State2ip Phnne <br /> �l_J��c �f <br /> Eleclrical Contreclor Mail Address City SlatelZip Phone <br /> Stale License Number Contracl Price of Work <br /> ".:�1- F� <br /> Proposed Uso of Building Contact Person (Plan Review) <br /> Descriplion o(Work to Do Dono: ��i����' ,� �n ��"-������� 1"t q �.c S'�� - �+ n���•'�"•�n.,- �� <br /> C.Ib_.,� ��, �� f �rr '�:: cn.l P�,�ltl - /�,��11 nrnu �I � v.' - -_ -!-„ <•c -rlcTs i C�r < c_� <br /> � / �I /1 l / <br /> C� �(�j- ��...'�-I��-1 ��.� �:�i ll�' .•..� l���. S l l.i. �' . .��r� /U!` l.r.�,��/' �c.�-,�Oi l I C ill. . � /�/P.+i <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3705 <br /> 1 here6y ce�tily fhaf I I�a��e read and exernined this applicafion and know the same fo be true end ��`(��—(�"��� <br /> nnimr.f. All provisions o/laws nnd ordinances govenung this fyae ol work will6e comploted <br /> whefher spec�hen herem u� ���,L T;;O yr�n!ing e(a p�rrnit does nof presume fo give authonty fo <br /> violate or cancel fhe provisions o/an}�other sfafe or local la�v regulahng cunsLuc;io;;c,-t!r^ <br /> per orrn�nce of conslrucfion. Thaf 1 am autho�ized by the o�:ner o/this F>roperty fo per/onn the <br /> wo I �vhich applicafion is rnado ond I cornply�vith the Sfafe Confrecfors Law 18.27 RCW and <br /> 29 .2(�WAC. � <br /> / � <br /> [ "— r" / / <br /> ,f C,li;=t�_,- �, �/Li "��� l I I `��i I <br /> .� " Signature ' paln <br />