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i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVFRETT PERMIT SERVICES <br /> 3200 CEDAR STREET, E�'ERETT, WA 93201 <br /> 425-257-8810 - FAX 425-257-8857 -www.evE�retlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM c�_�O� <br /> / <br /> , � O70`7'O65 <br /> —� �`� � �,AWI�Z �z-\v�`- <br /> PROJECT ADDRESS <br /> � J��JL- l.� � 2 G hY+W `�r . /�l�C, �R�r�i' � `�sSU�Z �lz) - 3j <br /> Owner�'�'�"�'[ I 1,1ai1l�ddress ,SLi11"ZF z� (� City SlatelZip Phon�Z <br /> I jf� <br /> Tenanl � A7ailAddress City Stale/Zip Phone <br /> ��O �-�A`QlL 37��? IcrY�'Sr Sc (�'�`�'t1� uJft- �ZO�(� 42'�-��>'�- <br /> Eleclrical Contraclor 61ai1 Address Ciry State.'Zip Phone(� ) <br /> ��� ��c�� ��1 l�' � 3 3cr�o `"= <br /> Slate License Number C�nlract Price o(Work <br /> Co,.�oMtnJ� v�''�5 s�+�yNc �cu-�=L-�� <br /> Proposed Use of Building Conlact Person (Plan Reviee�) <br /> Description of Work lo Fie Done: ��-�-����1�- l,J� �• <br /> - __ �C V I`/�-'1�l/� ,� <br /> � 1 • <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. ' � <br /> 1 <br /> L � � � J <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> I I hereby certi(y fhat 1 have read and acamined fhis npplicafion und kno�v the same to be true and <br /> correct. All provisions olla�as and oidinances govermnr�this fype oI work will be completed <br /> n-hefher speci6ed herein or not The granting ola pennrt does no( reswne fo give authonty to <br /> violate or cance/fhe provisions ol any other stafe or local la�r re�uP(ing construcf�on or the <br /> perlormance o!constnic(iori. Tuat 1 am authori_ed 6}�fhe rnrner ol this propertt fo perfonn the <br /> �vork lor�vhich appli afion is made and 1 comply�vifh Ihe State Conhactors La�i� i8.27 RCW and <br /> 296.200 WAC. <br /> � ,�,{,�� q�I-�� � -l�� <br /> i // ��nat r � Uate �� b � <br /> V � <br />