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i <br /> � <br /> � <br /> i <br /> ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-25��810 - FAX 425-257-8857—wwW.evereriwa.org <br /> APPLICATIONS ARE ACCEPTED FROM B AM TO 4 PM <br /> � 3 <br /> � ����� _ E ��p��,� �� 1 <br /> PROJECT ADDRESS �1�. J,���(/�� <br /> o � �� �I J 1 <br /> 1���[�f�—�1��Y����e �1�f��i�e�C l�� Z�i�' <br /> pW�� ���� M�il Addreu Ciy State2lp Phone <br /> �(1�1 21c�n t��trUt1� �P�3 C�1e�le-�r (�r <br /> Tenent , �naiiaddrou ��G� �?t}¢{�p,.{��}� anon� <br /> �'�{J 1 <br /> �11 S SoU 'D�h PI.� np �1�,kt� �SJ <br /> EleelficalCOntfa tof MetlAddress City Stata2ip Pho� <br /> �� ?�t` ,SU 1�_ yHJ.1�1/w <br /> State License Number Centred Pria of Work . <br /> � 42�y51 ��"�-S Yi�ol <br /> ProposeA Use M Buildir�g Contacl Person (Plan Revlew) <br /> � <br /> Square Footape(If residential ne constructlon,remodel or aCAition) <br /> Deseriplion of Work to Be Done: �-� � � 1 V� <br /> NOTE' WIRING IN NON-DWELLINGS IS REQUIRED TO �E <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERET7 LOCAL SAIES TAX CODE IS 3105 <br /> !hereby certry that I have reaAand examined thls applicalion and know the same to be true and � 'Z(7 <br /> cortect All provisions of laws and ordinances poveminp this type ot work�+n71 be completed �Z�� <br /> whefher spec�ed herem or not. The granting o1 a permR does not presume to give aufhority fo <br /> wolate or cancel the 0rovisiuns of any othersfate or Io�allaw reguleting Constrvction or the <br /> peAormanee o!construc6on. That I am euthorized 6y fhe owner ofthisP roperty to perfarm tMe <br /> worlc lor +ch eppiieeNon is made and I compty wim the Srare Condseton Law 18.27 RCwand <br /> 296.200 AC. <br /> l��1��1� <br /> ignature � <br /> � �d svEo ��� WdS0 �4 ZIOl '9l '1�0 <br />