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ELECTRICAL PERMIY' APPLICATIQN <br />CITY OF EV�RETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETi, WA 982U1 3_ ��- —D � <br />425-257-8810 - fAX 425-257-8857 —�vww.everettwa.org �0�o3-ob � <br />APPLICATlONS AR[ ACCEPTED FROM 8 AM TO 4 PM <br />�,��,�,� �<�:�-r �, � �� J�- - <br />PROJECT ADDRESS <br />OWner <br />Tenanl <br />� a ; �� y �c- <br />A1ail Address <br />A1ail Addross <br />�v . L� � � ��l <br />Clly <br />City <br />YlC'� �,�, �`, <br />Slale2ip <br />Stale2ip <br />Phone <br />Phone <br />� L I� Lc`� '�-�- �z � -�., c I�--t i r � c r � r� w�, t'�Q l z �1 z� <br />EleclriCal Conlraclor Mail Address City SlalelZip Phone <br />� I l ` �1 <br />��j-1A_2��::5z.— j��-�c�K i ; <br />Stale License Numbcr <br />Proposed Use ot Building <br />Descriplion ol Work lo Oc Done: <br />ConlraU Prico o( Work <br />Conlacl Person (Plan Reviev�) <br />� L i' L J I`C�,�"TI n y �r � � l'� LC:C 1� �.; � r' r�'� <br />�� <br />-Y�,�E'.A'� l �J � <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE �I <br />BE IN RACEWAYS, MC OR AC CADLE. I <br />J <br />CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />! hereby certily tfiv�l have reaAnnd ea�arnined fhis applic <br />corrocL All provisrons olla�vs and ortlinances yovemin� <br />whefher specilieAherein oYnot. 71ie granfinn o! a pemvl <br />violate or cmicel fha prov�5ions o/any ofher sfafe orloca <br />per/ommnce o/ construGiqh. That 1 am aufhonzed by fh� <br />work lor r.hich applicalion is made and 1 comply �rifh fhe <br />29G.200 WAC. ' ii <br />i <br />, , � � t�'i <br />- s����,�����"_ <br />�'�i_� <br />end F:now fhe same fo be frue �vnd <br />ype of irork n�ill be complefe�i <br />� nol presumo fo gi��o aulhon7�� tc <br />regulufing tonsfruc(ion or the <br />�ei ol tlus property tu pedonn fhe <br />� Cnntrar.fnrs Law 7827 RCIM1 anA <br />—� J <br />� - 5 -�,�; <br />� <br />` %i-- <br />� ,' > <br />,:�, l <br />