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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET: EVERETT, WA 98201 � ` �7,�� <br /> 425-257-8810 - FAX 425-257-8857 —www.everettv.�a.org <br /> �oga9-dDf <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , _� <br /> u �� ( �C �,''�i�;r;�, JLC C:�i�_�;"ic ��K4��; ��.w C��;�„�c,� c�- Z�,�c. . <br /> PROJECT ADDRESS <br /> 1'�[�l 1,1c l_ (. ��_u-vnl� r. 'i �7n�,ir'� 1 <br /> OWner • 61ai1 Address City Slate.�Zip Phonc <br /> Ten3nl Mall Address Cily State/Zip Phonc <br /> T� � =I' 4,1 `,'F�lZ�i <br /> .�—.� ��. .�:i' /ul _ r-1 <br /> i 'LL�-'CTIZ= i �,_.L;� �h��.cCL �KT 'C`iUi' !�'�r'-/. f• G7c<_i • <br /> [Iecl�ical Conlrac�o� M17ail Address City Slate2ip Phone <br /> 2s"3-iLZ � �Z�� <br /> �2, „ l c.z x `i i 7 1� P Za �c <br /> Slale License Number Contract Price of Work <br /> Proposed Use ol Building Conlacl F'i�rson (Plan Revicw) <br /> Descriplion o(1Nork le �c Donc: _ ,� . �_, i 1 i 'a� �'���� i, ,. „� �q" � �k'f -�r� �r I�r�..�, l 1 .1�_. <br /> � - , <br /> r,i ��< <. � �� � ` y.��;�,}�,� Il -�Yl�l. �UF1 'Uf:�.�a/.� <' �(. � �u Jrq�+J�r[. 0 l�!Zup _ <br /> NOTE: WIRING IN NOIJ-DW[LLINGS IS REQUIRED TO FEE <br /> I BE IN RACEWFlI'S, MC OR AC CABLE. <br /> i <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 1 <br /> 1 he�eby ceitil}��haf 1 have reaA and examined fl�is npplication and kno�v the sanie to be tru�anA �U,�O�� - I � <br /> correcl. All p;ovisions o/la�vs cnd ordinances goveming fhis fype of u�ork u�ill be cornpleted � , <br /> irhether sr„cdied herein or noL The�ranting o(a pennrt does not presurne to gi��e aufhonty to <br /> violate a cancel U�e provisions of any ofherstate orlxallaw ragu/eling ccusfrucfron or fhe <br /> peAom�once ef constnufion. Thnf 1 am authorized by the owner o/fhis proprniy fo perfonn the <br /> �vork;�r�a9uch application is mede and 1 comply�vifh fhe Stafe Cenfractors La�v 18.27 RCIN and <br /> 296.�OiNAti:, <br /> q , <br /> ^.�� �E��� ���T ��zr <br /> Si�nature �` - �" Dale <br /> \ <br /> �__ <br />