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,�� � <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES y„au �►z <br /> 3200 CEDAR STREET, EVEREI7, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 —www.everettwa.org E �ZD���� � <br /> APPLICATIONS AP,=ACCEPTED FROM 8 AM TO 4 PM <br /> �� 3 0 �� Ew I� �-. <br /> PROJECT ADDRESS <br /> ;�f�/r C fh25 o,�J <br /> sVr4',�_ S /-1„�e, '-� � j o �! c r c,.J .� 2 � <br /> Owner Mail Addrass City Stale2lp Phone <br /> Tenant Mail Address City State/Zip Phono <br /> �,l.�C S�TWJCI� � Lc (_1�I �-- 3i � S � � �� SI ' /�IaR-Mr't�Dy �R-R-�L <br /> Eledrical Contraclor Mail Address Gt� w � ��I 6�Sta;e2ip �� _ Z�3 Phoqe,2 S <br /> �r <br /> 1� ; 5'Tw t•� o , r i� x � � o 0 0 <br /> Slate License Number Conlracl Price of Work <br /> � A/Z�c�c <br /> Proposed Uso oi Building Conlacl Person (Plan Review) <br /> DescriptionofWorklo�oDono: "`� � IZL (,/�-�-G:�� �1"/�D/ %/�� � <br /> NOTF: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 q <br /> 1 hereby ceMi/y thaf 1 have rend and exnmined fhis applicafion and know the same fo bo Wo and � I �UL�— �� / <br /> correcL All provisions o(laws and ordinances goveming fhis typo of work w�ll be complefed <br /> �rhether specified herein ornoL The granting o/a pemuf does not resuma fo give authonty to <br /> violafo or cancel the pruvisions oI any other sfafo or local law reguPling consfruction or fhe <br /> peAomiance o/construction. That I am aufhonzed by fhe owner ol this properly to perfomi Ihe _ <br /> work/er wbich epplicalion is made end f comply witlrlhe Slofe Gonfrecfors tew�18.27-RG W and ----- - <br /> 296.200 WAC. <br /> \.� \ ��"(�'., �{ — Z� — � Z <br /> 1 � l <br /> St nalure Date <br />