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lCt • i '; )l�Qr' �: i�n"!! I_Cn6i�. S'i�I;I1S II;� ilp. . cl ' i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERET7, WA 88201 <br /> G25-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 6 AM TO 4 PM <br /> auc�l� r, �,tiu� � Q� Pl�ti-►� � 1 � . <br /> PROJECT ADDRESS <br /> . + <br /> � ��PV �,Qc Q1� �S 10� ����1� �� <br /> Owner Mail ACdfaeo Ciry scate2ia � Phono <br /> Tenant Mail Addroas City . 5uterZlp • Phone <br /> -��-��.�.� ��a�� ua .��� �m,��a����� ����a7a <br /> ElecMcal Cont�actor <br /> �C�l',KT �� ll-1 1 V l� . i-�(:�U V . V �--/ <br /> State Llcense Number ntract Prlqe of{Work � , ,� �y <br /> I __II/1� <br /> Y� <br /> Proposed Use of Building Contact Person (Pian RBvl9vr) <br /> � � <br /> Description of Work to Be Done.� /_����T �/ �� 1 C� �/ � �� �� � f � <br /> N07E: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL 5ALE5 TAX CODE 19 3103 . <br /> 1 hereby cerify fhaf 1 heve rend end examined ihis applicaticn end�<no�i fhe seme to be trve end <br /> ccrrecL All provlslons o/faws entl ord/nances 6oveminp this type clwo�kWNI be camp/eted /? <br /> whether speclAetl hereln or noL rhe pranting ol e pe�md does not�rBsume!o gNe aufhodty to � L <br /> vlo/e te or cancel tha provisions vt eny efher stete or IccsUaw regu�ating construction or the �) <br /> pericmiance ol consfructlen. That I am authonzed by the owner of thisp ropeRy to perfcrm the � <br /> wc�R for which aoplicat/on is mace end I comply wlth the Stefe Contrattors Lbw 78.27RCW and . � <br /> 296.200 WAC�j /��/ � ^' �� I � � <br /> v J . <br /> ,�y9�.,,L�,�. .� ���� <br /> reu�T9� � Dale � <br /> ' � ' � <br /> �� �� c � � 05 '-tc�. -o� • 7 . <br />