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� <br />ELECTRICAL PERMIT APPLICATION <br />CITY �F EVERETT PERMIT SERVICES <br />3200 CEDAR STRE�T, EVERETT, WA 98207 <br />425-257-8810 - FAX 425-257-8857 – www.everetlwa.org <br />APPLICATIONS ARE ACCEPTED fROM E AM TO 4 PM <br />., 5 2l� IN Q-nMoJe 61 v� <br />PROJECT ADORESS <br />i- • ' <br />� <br />� - - j �r_ <br />--%1 �' i C. �_ l_��(� "1�t'�Ei'7�� <br />OwflBf Mell AOOiees Ciry Staro2p Phore <br />Tenanl <br />Mail AAAiess <br />� <br />Stata2iD Phona <br />IY1i�I G�eek El�.i��� I�`1,2�b 2.ir� D�S� M�llLr�eK t,un Q��`�— <br />Ebctrical Contrador Mau Adaress CMy 5tero2ip Phone <br />1Y7/,�1_�'��!_ ��'/;=>l � %,-%`///i'_� <br />State License Number <br />�`� ���. <br />Propased Use ot Building <br />�S�s�-=-� <br />Contrad Price oi Work <br />Contad Pereon (Plan Reviaw) <br />Desaiption of Work to Be Done: � �'Tt �. tp ����j �i+ft/ ��� � Q„r �kG �' �U W�l�l l�c4`"Yh� <br />ko�k y� ti''e�tl il�icte� �.P�<e� � 5wwtp-1'hr�� rcl�a�� }A#��ba- o�CS�.de StirErw� <br />h,ow+�Y('� Mr� C� IJ,k �„ ith �uG 'Z✓�S�t(1 hKt� �ati <br />NOTE: WIRING IN NON-DWEILINGS IS REQUIRED TO �E <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVEREtt LOCAL SALES TAX CODE IS �706 <br />1 hereby certify thaf I have /ead anAexemined fhis ap,?licafion and know fhe same fo be frue and <br />correcl. All provisions ollaws and ordinances govemmg this type ol work will be complefed <br />whefher specr/red herein a nol. The granGng ola pertnd does nof piesume fo give aufhonty fo <br />violate o� cancel Ihe pmvisions ol any ofher s'c'� or locel lew iegulafing consGvction or fhe <br />peAortnance o/cronstniction. Thaf I am eufhonzed by the owner ol this property to,.�erform Mre <br />worir /or which applicafion is mado and I comply wdh ffre Sfete Conhactors LaN� 18.27 RCW and <br />296100 WAC. . <br />A u 1��,(�� � -3-I D <br />���-,�j _0�-� <br />