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ELECTRICAL PERMIT �1PPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org <br /> A°PLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � �C Gi �a� <br /> �y�; � ��O�r' .�-� �rr,f!:�'� �v.�i �1�.G�/ <br /> PROJECT ADDR SS <br /> G"i4N ������{ /�/07 /l�tnlr �-/- rr,z•.,.,.� ��i/L�-. C/�G'� �/ZS'YZZ 4:i� <br /> Owner A1ai Address Ciry Stale2ip Phone <br /> Tenant Mai�Address City SWIe2ip Phone <br /> �r�i.�y�'�c<-�it�� �///� �, Cti�_ S&;..Cc�s IvF �r,� �{t'tY�i� ��' 7'SLS:f' �/�s i>S-y�s-6 <br /> [leClrical Conlraclor Mail Address Cily StalelZip Phone <br /> ,�/ � ����� / <br /> ��)(_�.�/���= 7!� �U 3 n I� ���� - �C��-� J.%J -�- ��r:?C <br /> Stale License Number C nt ct Price orWork <br /> �� r�_' Sl/�ri-,�`c:, J�ir� /�'//_���/�i.�,�r1Pt�r <br /> Proposed Use o(Duilding Contact Pcrson (Plan Revie� � <br /> DescriptionofWorktoBeDone: I�L'L��l.t!'.F�_ _ /�� t.�v�� �.2��V, � /,�J ; 77�.�� Zd(.%lk, �� <br /> ��f't��� i L.P , �-GDI��e cn��-iu ( , l��r' t-C�" 1>6.SL_ � �-��7n� G 'I <br /> � - <br /> NUTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> DE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TN:CODE IS 3105 <br /> 1 hereby certi(y fhat I have read and examined fhis applica(ion nnd know the sarne to be frue and <br /> correct. All provisions olla�vs and ordinances governmg this type ol a�ork will be compfefed <br /> �vhefh�r spec�fied herein or noL The granting ol a permd does not resume to give atdhonty fo <br /> violafr or cancel fhe provisions ol any other sfafe or local la�ti reguPfing construcfion or the <br /> perfo rn�nce olconstn�ction. That I am authonzed by the o�+ner ol this property fo pe�fomi fhe <br /> wn-;, lor which application is made and 1 cornply with the Sfate Contractors La�v 18.27 RCW and <br /> 296200 WAC. <br /> ,'7 G <br /> ��`.��.�----�� ������ <br /> �'Si ature Da e <br /> � �47G'� -I�i7 <br />