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/cL� LG�' �E'��� G� \J<LaGtdL� �I9'� - �.LLc.Lr-�� <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 982Q1 <br /> 425-257-8810 - FAX425-257-8857-www.evereriwa.org <br /> APPLICATIONS ARE ACCEPTEO FROM 8 AM TO 4 PM <br /> /D/� / ;�u�aJ,..� �'irc�- <br /> PROJECT ADDRESS <br /> / ' ��-�c�.-��u<! X 1 r��u. 44 Ji/./�-et-���� <br /> Ow�ef �� , Mplllv]dress -�` Stete/Zip Phone <br /> / �,J <br /> �.��_� j((�/£�.-L�/�J <br /> T/enant MaflAdtlress �� Clty Slate2p Phona <br /> �;-e.�� �` .�e��c�oG,� c'1/�/�' /�'D��/'�� �u•,�s»�-!J UJ� 9'P��� <br /> ecYrical Contrador Mail Address Clry StaleRip Phone <br /> ����E�'97��P 9 <br /> Sta�License Number Conhact Price of Work <br /> •�t Us�ldin� Contact Person (Plan Review) <br /> , DescripNon of Work to Be Done: `�+�-Yt.d.�-�-�f�' �'L�L!� �Q . /Y f�1.Jd �"/"L2�+v_�-t_u�eL/ <br /> �a,7e�Lt.�.�cc�- 1C� L/JL�� �' �},Q1�e�� �L6��t- �te-��G �! <br /> C'ti v�/«/.�- <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. � C� <br /> �� . <br /> CITY OF EVERETT LOCAL SALES 7AX CODE IS 3105 <br /> 1 hereby certity that 1 have read and examined fhis applicafion and know the same lo belrue and <br /> conect. All provis�ons o!la�vs and ordinances goveming this type ol work will be completed �U1 C� - `� � <br /> whetRer speufied beroin or not. The�ranting oI a penm!does notp resume fo give authonry fo <br /> violato or cancellho provisions ol any of6erslate orlocal law reguleting conshudron or the <br /> perfom�ance ol constrv.cfion. 7ha1 I am autl�orized by fhe owne�of thls properry to peAorm the <br /> �t�orh lor whicYi applicahon is made and I comply wdh the Stafe Conlractors Law 18.27 RCW and <br /> 296.200 WAC. <br /> C _�,�-,.,J���i> /- 3i-o 7 <br /> s����re oet� <br /> t 'd TEbL-899-D9E '�uI ' oc�qoat3 �atia�l dID �ZO LO iE �eC <br />