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e� <br /> I ELECTRiCAL PERMIT APPLICATION <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 /> APF LICATIONS PRE ACCEPTED FROM 8 AM TO 4 PM <br /> � <br /> y2 � ��.5�- X ;E�� �2� <br /> PROJECT ADDRESS <br /> n 5 <br /> l< (.t 1 v1 n YI/l� ��0 y2 b�' XcW:ea^ � �c, � Lp� ��/zs�3 37 <br /> Wner ldail Address City Slate2ip Phone <br /> � �uu�, <br /> Tenant Idail Atltlress Ci�y Siatei2�p Pnone <br /> Ilg [ 4y� �✓�r1�7 rPPc�c�cY-AY30 <br /> ��(`� U1� 7C��I GIPG�I-JC. /4� L E'✓e�et�' r,,l� q�zo� yz 5-yya -ay <br /> ectrical niracto� Mail Address Cdy SlatelZip Phone <br /> ' � LGI� E.� 977C � `�° <br /> Sta. Lic�nse Number Conira�ct Pr�Wo <br /> Proposed U�of�ldi� Contact Person (Plan Review) <br /> Descnption of Work to Be Done�. 5 �'�"Ul Ct G�i�-�e- � �C �aJ re ��+�'L� f , ��"�'c� <br /> � <br /> u.�ra !`Fu ] � IIr�N�JY1 � <br /> I FEE I <br /> NOTE: WIRING IN NON-DWELLINGS IS RE�UIRED TO <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 9105 <br /> I heraby cerUly Utai I have road and e�ammed Ihis apphcahon and know the same(o be frue and <br /> correcf All provisions olla�+�s and ortlinances yovernmg fhis type ol u�ork nall Ge complefed �i � �C�B "�'�� <br /> whefh^i spen6ed hermn or nof. The gmnfiny ol a pennd does not p�esmne ro give au�honty to <br /> vrolale or cancel fhe pmv�sions oI any ofher s!afe or local law regulafmg conslnichon or the <br /> pe�fonnance ul conslruclicn Thaf I am aulhonzed by the owner o/this property fo pe�lorm Ihe <br /> Iwork lor�vhrch app6cafion is made and 1 comply�vRh fhe Slafe Confracrors Laiv 78 27 RCW and <br /> 296.200 WAC. � <br /> � — ��^ /� <br /> � ,�,� �a�� <br />