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;c -- �D-oS <br /> ELECTRICAL PERMIT APPLICA�TION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> . i, ���.�) ,!, . ��ii.i//i�C '_��( <br /> PROJECT ADDRESS <br /> �'r�l{�l/y!IC� L�^�' ' — <br /> � ��---- <br /> OWf1Cr hlatl�dAiess (:dy --- Slale�Z�p Phone <br /> � � � <br /> ( -"i/ C,v��i;r.,�f�.��•� sr��,� <br /> Tenant Mail Address Ciry Statc2�p Phonc <br /> •r— <br /> � i�l/.- , �'�.,-�� �,�-��,1�7—�i,�,��>,a ��r�. `i�y�� 133 ���.� s�� <br /> E-lectfiCal Con�reC�Of Idail Address City Sla�e'Z�p Phanc <br /> , %/J�x .., }� v�� K (� �307?t� �'c <br /> Statc Licenso Numb�r CoNracl Prico ol Work <br /> Proposr.A Usc of BuilAing Contacl Person (Plan Roview) <br /> � '� y-- <br /> Description oI Work to�o Done: !t'[7��'l(iP � X 15 � 111 C� 1�'L(C � U l�ll� )l��D�')! O U` /� <br /> NOTE: WIRING IN NON-DWELLINGS IS R[(]UIRED TO FEE <br /> 4E IN RACEWPYS, MC OR AC CABLE. <br /> %�7 <br /> CITY O� EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 heraby certdy fha(1 ha��e mad and exarnined(his�pp6calion end Fnow the samo fo be 6ue and <br /> conecl. �lll provisions of la�vs and oidmnnc�s 9overnmg fhrs fype o!worh will be contplefed <br /> �rhefher spoci6ed herein u�no(. The gianfing tit n pennd doos nol vesume fo give aitlhority fo <br /> wo;afe or r.ancel fhe �rovisions ol mry ofhm sfate or locel law regu�if�n�consf�ucfion oi fhe <br /> peAornrance o!cons�ruclion. Thnt I�rn eufhori7ed by fhe owner o�fhis propehy fo pertorm fhn <br /> worN !:n v:hich applicafion is rnade and I cornply with fhe Sfafe Confraclo�s Law 78.27 RCIN and <br /> 29G 200 WAC. <br /> � <br /> `)��� ���i. � .�� �� ��� -�.�' ���(�.� <br /> _i�=�i . ��.-�i�:�-'—--'-'— — <br /> ., ���ilu,i. Uale <br />