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ELECTRICAL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT,WA 98201 <br /> 425-257�810 - FAX425-257-8857—www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> , ? <br /> ��iC� ,� ��,�;� � �)�_i�J » ir�i <br /> PROJECT ADDRESS <br /> li7u � �i e i�ti -/ LC /��S�R ' �''NNii�n���/ ii/�;7 /1� :�n:i� �i.',> ::�::- �_ yJ; _ : r. ;�� <br /> Owf�er Mail Addross CMy Stata2p �� <br /> � J ti 1 �il � l7,, ,��f� -�,�� � .��:,,� r- ,tii� 9�_��:� <br /> � � Plwne <br /> Tenant Mait ndaass Gry stetdzm <br /> J(t �' /Ci� // - •���� i/'/�!!- � �lV� � /�ir [/•C �l�� j''f.'/.�.� •/J: .:�i��:�r✓. , <br /> � FJectrical CoNraclor � Man nnd�ass Gry sta�efzp �� <br /> �7/IiLJ� ���J <br /> 7/�C,�t n'i �'�/Nl'� ' contraci�riceorw«k <br /> �Slate License Number <br /> 1 � <br /> �"� �; ; �� ;:,i�C .i <br /> !'/�i/.iit :� :�. <br /> Proposed Usa of Building Contarl Porson (Plan Reriew) <br /> DesQiption of Wak lo Be Oone: i � � � �� � � ��� �-���- ��� <br /> �•��lh .�/ t � � i. , f. <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TA%CODE IS 7705 � <br /> 1 hereGy certily fhat 1 have read and examined this appl�ication and know fhe same to De We and ` ���5 "O�Q� <br /> correct, All provisions of laws arrd ordinances 9ovemuy ffris type o!work will be compleled <br /> wheBier spec�ed heiein or na. The granfiny o�a permrt does nol presume to gire aufh:d�lo <br /> violale o�carr.el fhe isions o/any ofher sfale or local law regulatmg oonsfniction or fhe� <br /> performance o/cons nidion. Thaf l am aufhonzed by(he owner d;his property to perfam th= <br /> woAc Ior which applicalion is msde and I compy wilh Ihr.Stale Contredors Law 7827 RCW anc' <br /> 296.2(b WAC. <br /> . " ;, , <br /> Slgnatu(e� Oate � <br />