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ELECTRIC�L PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVEPETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857 -ww�v.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 Ph� � "a4`O�' <br /> — �=0go4�1 <br /> , <br /> � �C' �C% �x'�-����'wL �' � <br /> PROJECT ADDRESS <br /> 'IC�YI�-�C'. �y�_ I�Oc,��7CE��l�Y �r�-tl�� � jQ�� <br /> Owner blailAddmss 1-�v �'k'� �C= (:t,�`� . ��°O11 <br /> / <br /> c1�l�''�) <br /> Tenant IdailAddr,::s Cilq Stale2�p i�n�,nr <br /> .��,-�55 - <br /> �,f� ���� �� -�,�r�„� -v� s � , «�. �����_ <br /> Eleclrical Gonlractor hiall Addre�s Gi�� 5�,����Z�p �'ncne <br /> ����.'�f-� `�_��r ��v , �- <br /> ;late License Number onlrart price ol Wor4 <br /> ��C�1N�I�)��' �'t'I fi I � ���1 �2"I,�C'Uc P -- <br /> Proposed Use ol Building � � Contar.l Pcrson (Plan Rcaie�•;) <br /> � /� I r /�f� y/(j� / <br /> Description of Woik lo Be Done: �����1 !j I lTI 1 1 ��t'7 � � / ✓�[`� / ' rC-( I�rl�� _ <br /> I NOTE: WIRING IN NON•DW[LLINGS IS REQUIFED TO FEE <br /> �E IN RAC[WAYS, MC OR AC CA�LE. <br /> CITY OF EVERETT LOCAL SAIES TN(CODE IS 3105 <br /> 1 hereby certily thaf 1 h,�ve read and czamineAthis applicafion and kno�r the same fo be Uue and ��^' �'f , � <br /> correct All provisions o!la�rs and crdinances goveming(his fype ol�rork�+ill be cornplefed - �- �J L� � �5 <br /> whether speci�ied herein or not The�rantinc�o/a pernut does not I�resume tc give aufhority fo �. <br /> violafe or cancel(he pravisions of any ofher sfale orlocal law regulalin�cansUuction er Ihe <br /> periormance o!cw�struc(ron. Thal I arn aufhorized by the owner o/lhis proporiy(o pedomi fhe <br /> �vork lor which applicalion is mad�and 1 cornply n�ifh Ihe�Sfate Confraclors Law 78.27 RCIM1'and <br /> 2�ts.2oo �a�AC. , J i <br /> , �'��1/ 1 ,� ' , , <br /> ;� , �� - l_E; ' ),l���E'[(�� `�-�y-C�% - <br /> .-gna ur. �� Date � <br /> / � <br /> / � <br /> � <br />