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( <br /> �— <br /> ELECTRICAL PERMIT APPLICATIDN <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX425-257-8857—www.everetiwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PN <br /> aa8 ��cKs DR� v�, � v��TT �� g�� <br /> PROJECTADDRESS <br /> �-ra�c.� n1C�'r,�'m.ra��ie-�-�8 P�C.kS 1�C'�c�. EV��,— k�- %�ln� �53s36�� <br /> Owner Mail Aaaress City StetelZJp Ph� <br /> �t►� �-� �� �� � � t r � i � r �r , � � � i� � � <br /> Tenanl MailAddress City StateRip ph� <br /> ��R�-mo2 �rr�-�rL ��t►� 4�� r'r���c� �}y'�,v �z �a���f �d�}9�d`io <br /> EIECtnC21 ContlBdof Mail AAdress Ciry Stale2ip Phone <br /> co�2�L�z°l�1��7 . ��,� m ��pRox� <br /> State lJcense Num6er Contract Price of Work <br /> R��-,���►T�rc� �r�.�� ��m�l <br /> Proposed Use of Building Contad Person (Plan Review <br /> Descnplionof Workto De Oone: �Q�� �p l�f� � R�Q(.��� �(.( /�/,1d�� jU�h" //J(7y-�-�QbK <br /> ��_�� -� <br /> �tp or- ��.+� �u.TD�ie� .�r� �n�o,, CoN-��� � �,e��v�, F�e � ,��as-��T <br /> NOTE: WIRING IN NON-DWELIINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I heroby certi(y fha!1 havo read and exnminad this applicafron and know the same fo be true and l� I O U(.,�, D�],� <br /> cone�t. All provisions o//aws and arlinances goveming fhis type ot wak wiA6e complefed lr I <br /> whether speci/red homin or nof. 71re granting ol n permrt does not resvm,e lo pive avfbon7y to <br /> violate or cance!the�rovisrons of any oth�r stafa or loca!luw ieguPafing consVud'wn w Me <br /> peAormar.ceofcons�ruction. A�atlamauthonzodbylheouneroffhu propertyfoperto�nlhe <br /> v:ork far whir.h applrcation is mado antl!comply wifh Ihe Slafo Contraclors!rw 18,27 RCW and <br /> 296.e^00 WAC. _ <br /> � <br /> 'V� � /�J'�Jdl O <br /> gnamre Oalc <br /> Z'd 0918-Z98-09£ ou�oiai�e�3�opwo� d6S Zl Ol 6l �dV <br />