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� <br /> i <br /> � —1 1 <br /> I <br /> ELECTRICAL PERMIT APPLICATION ! <br /> CITY OF EVERETT PERMIT SERVICES i <br /> 3200 CEDAR STREET, EVERETT, WA 98201 i <br /> 425-257-8810 - FAX 425-257-8857-www.everetlwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> 120(a W -�'tn'10Y� /k�l� � <br /> � <br /> PROJECT ADDRESS I <br /> (-4a1sJ Zv n� $ <br /> Su�ryn. t( �lexia- l�alle i�o� �.v� fi»ore A,z� Eu� �c'N . u�A <br /> p�y�e� Mail Addiess Ciry StaldLP Ptwne <br /> NlA � <br /> Tenent MaN Address CNy Slate2p <br /> ElecUiCe Con d0'��/`+ Mail Addieas Ciry StetelLP Ptane <br /> State License Number Contrad Price of Work <br /> Proposed Use ot Building Conted Person (Plan Review) <br /> Descriplion of Work to Be Done: C c ,I `S � � <br /> ��,� .�� cir ( u,�-�' arV.� a dPdirnk�.� 6FGi �ec¢_P�cle Circccc-{� <br /> �ir r�kl b lo wi-I�l� � nch� <br /> �Jc'�C� �'1 15� am� � ahd S,Q1��2 'fo nx�s-�-,'nq '�utCfS � QcPlou.,.a-,� a� <br /> Sc w�(e �une. un�,�- bitia �rs. � FEE <br /> NOTE: WIRING IN'NON-DWELLINGS IS REQUIRED TO <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily Mat I have read and examined this epplice6on and know the same fo be hue and <br /> correct. All provisions o/laws and ordinances goveming fhis rype of worlc wi��be camWeted <br /> whefher specified herein or not ihe granfing of a permit daes rrotp resume to give authority to <br /> violate or cancel the proNsions of any other sfate orlocal law regula6ng conshuGion a tAe � <br /> peAamance o/conshuction. That 1 am aufhaized 6y tAe owner o/Mis pnperty fo pe�/onn the <br /> work/orwhich applicafion is made and 1 comply with fhe Stahi Conhac�as Lew 1B27 RCW and } <br /> 296.200 WAC. � I ,`�J —� <br /> I UI <br /> �� � �J�.P.�� J�1,� � , �o,► <br /> 5ignaNR <br />