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, <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 r� '"�'S—�� <br /> 425-257-8810 - FAX 425-257-8857—www.everettwa.org �i O//_p7 -'—j <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> ��i��(�J ��c'� u� COr,� C� II 2 (? <br /> PROJECTADDRESS ��(1, 9s � S�3 % <br /> �� ��<,��, <br /> � ' � - I1 / <br /> ��,�,� i.•�i`� .U�cr• ci�� L��rc71� L� (l 1L1���l�C'' 7/� <br /> Owner Mail Address City SlatelZip Phone <br /> ���77 ��� <br />� Tenan� h7ail Address City Slate2ip Phono <br />� ,..,, � �%'��'� `��f��'�` t <br />� Ql��,���s,y �l[, n,,� a5•��J 'v . � •�-� 1���'���� l�a� . � )� lZ <br /> EleclnCal Conlraclof Mail Address City Slale/Zip Phone <br /> � Il L'DL�� ����I LL� ��' �r7�C� �' <br /> Stale License Number ConUacl Prico of WorY. <br /> Proposed Use of Building Conlacl Person (Plan Revietv) <br /> �� 1 <br /> DescriplionofWorklo6oDono: ��n-y�l� ��)J/) r `?�'�-�/•Gr' fPW� f� �1��MY' Y-�, <br /> � <br /> �:�� ��t <br /> NOTE: 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 <br /> !haeby certily fhaf I Oave read anJ examined this applica(ion and kno�v the same to be 6ue end <br /> correct. A/l provisions o/laivs and ordinnnr.es governmg this fype o(work irill be coniple(ed <br /> wltefher spea!ied l�erein or noL Tlre�ranfing o/a pernuf does not ucsumo fo give aufhonty fo <br /> violatroric.7 l�h,el the provisien ol any other sfate or/ocal Imv re�ulating cansfn�ction or the <br /> peiforrnanc�pI consfrucfion Imt 1 arn aufhorized b}�Ihe v�rner o/Ihis propeNy ro pedonn fho <br /> �vo�k lor,+'vhrclt�pplic.ition i � �vde and 1 comply with the Stafe Confractors Law 1H.27 RCW and .� <br /> 2Q6.20�''V�'A�C. � � <br /> � � <br /> � <br /> �� ' � ; ; ,,.�,, %I.1_5 'Z�%�� � ( 1 - � <br /> I �Signalure �� Uato <br /> I <br /> l_i <br />