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txite/zoi: TNU i3: 55 r�x moo�/ooa <br /> • • <br /> � — — — <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERE7T, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857—w�wv.overettwa.org / a `�g—L C� <br /> APPLICATIONS ARE ACCEPTED FROh9 8 AM TO 4 PM C J t//Z—�,� <br /> �U2� ,-1�PC�,�1�c,� �,�I �Z�-� I _ <br /> PROJECT ADORESS ^/�/�� <br /> \ �Vl <br /> � i� � �� � � � � � ��`�� � <br /> Ovmer l,lail FCd:ess Gry S;alMz�p �hone <br /> �.cLU�,� W (J b'l-Y��V l / <br /> Tonanl ldail Adtlress Clty Slate2p Phone <br /> ��� G 1�'n 1 _��,�CC��I,�� ,1,� ��3�J ?�QD y l�t, <br /> , <br /> EledriCai COnlfaClOr ldall Addrr,s Ci� 't—y�r— � Slatc2�p Phonc <br /> ������ � ���� <br /> Slate License Number Con�racl Prico of WOrk <br /> `(l,� � �.�, � �V�c�lc�-- <br /> Proposed Use of�uilding Conlact Person (Plan Rovio�n) <br /> l <br /> Square FooWge(If re idential new conslrudion,remode�or atldyon) <br /> Doscnplion ol Work to Bc Donc: �` ��� ` �I/1, I � p ��l/(� <br /> i <br /> NOTE' WIRING IN NON-DW[LLINGS IS R[4UIRED TO FEE <br /> �E IN RACEWAYS.A1C OR AC CABLE. <br /> CIIY OF EVf:RETT LOCAL SALES TAX CfiOE IS 3105 <br /> �ViU� <br /> I hereby certify thaf I have read and exominud this applicafion and AncH•fhe some!o be hue and ���'�Z— /3�-7 <br /> corracl. All pmvisions ollaws and o�dinances govemmg fhis fype ol wak wdl Ge cumplofed � <br /> whelhor spec��Ad horein or not The granling ol a po�md doss nof ies;,me lo giv�authority fo � <br /> violefe or cancel fho provisions ol any other sfa(e or locallaw reguPfing conshucfion orlhe <br /> po manco o/construchon. A�at!am authorirad 6y Iho owner ol this proporty fo perform tho <br /> v rk h�r which ap licafion is matlo and I compty wifh fho Slafe Conhaclo�s Lew 78.27 FCW nnd <br /> , 6.2do wac. <br /> s�gnalurc /\ oatc� I�`� <br />