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i <br /> 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.everettwa.org <br /> APPUCATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �;�. `�� �v l.( ' • ��'1•�?��'!� <br /> PROJECT ADDRESS <br /> `3 c:c� — 3'7•7 — I y �•7 <br /> �'I : v, Nr`���t ��c,cl 1n� a�� �� �i� �. 1�� l= ��, G• U1.z �� � ( �' C/43/L <br /> OWnef Mail Address City Stale/Zip Phone <br /> �/1 e l79�vl'�{f� <br /> � � �� I (3.,-1 i��. °� �� ��� �� ,�,�.,, /Z,.�M t �i- ��}�, � ,� 5�- ay a5 <br /> Tenant Mail Address City Slate2ip Phone <br /> ' la , 1 • 3Lv( L�l.;�, _ , �� ; � - GI <br /> Eledri i Contraclor Mail Address City Stalc/Zip Phone <br /> l��/ c.ia hl s 5 i L-I Z I� i� l{ (�crU <br /> S�a�e License Number Contracl Price ot Work <br /> ���• Si l� -(li7f. <br /> Proposed Use of Buiidin� Contact Person (Plan Reviow) <br /> �Z-r I ac. � S} <br /> Descriplion of Work lo B�Done: j. 1•1 -c-��-f� ,,� �! Y , �� '�\l i.t �� s C% � <br /> �� � r l, ( Y � �.ti � �I.�� �� �� kr <br /> NOTE: WIRING IN NON•DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. /� �J � <br /> —� r <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby ceiiily thaf I have read m�d examined(his applicafion anAknow fhe sarne fo be frue and <br /> conect. All provisions ollaws and ardinances c�overnmg fhis type ol work will Gu completed ��'��'�1 '�U � <br /> �vhether spr.cilied herein or not. The granlinr�of a pennd Aces nol resunte fo 9ive nulhonty to <br /> violafe or cancel fhe`�rovisions ol any ofher sfafe or local la�v re�uPfing construcfion or the <br /> performance ol const�uc(ion. Thaf I am�u(horized by(!te uwner ol lhis property to perlonn the <br /> work/or which applicafion is made and I cornply wifh(he Stafe Contr��cfurs La�v 78.27 RCW and <br /> 29G.200-WAC. <br /> � � � <br /> �� �-r��s .—E �".����, �l l �� / �� <br /> —���,a��« T-- ,� <br />