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r-- / 309 � <br /> I --- <br /> ELECTRICAL PERM.iT APPLICATION <br /> CITY OF EVERE7T PERMIT SERVICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 425-257-8857-wvuw.evereltwa.org �_ �7_�y <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM � ��pl.,d�� <br /> _10 (� � � �P.v�v��r// C.._ ✓�C e� ���y �J S� ,' / c v< � � � <br /> � <br /> PROJECTADDRESS / $ � �� <br /> �" � �- �1 <br /> (/!/.�_ . ��� 5�- �SSOC _ sl'v�2 �7`c�6� <br /> Owner Mall Addross Ciry State/ZID Phone <br /> � �(iv�'l�� I <br /> Tenant Mall Address Ciry Stale2i � � <br /> p �� on <br /> �i°r,o,Y �r ��c ��. ;'c />ULZ 3 ����ic � L,y/�hu�oo� 98� 8 <br /> Eloclrical Contractor Mall Address Ciry tate2ip Phone <br /> _ �//`/D,C��� < �D C�-3_ ff' CJ �U r <br /> ate License Number Contract Price of Work <br /> � � ,o G� v�e c� C-��i G� v�-r � ,� J" I <br /> Propos sn of B 'ding Contact Person (Plan Re ew) � <br /> v?S - 73� - �s�d <br /> Descnption of Work l0 8e Done: _r�li1/L � J Q�7 Z� D !/ V �� <br /> _ � i r�` L !�L i �� !1' v P rf' a p. � �o dJ/J � 1 P lI` �_ <br /> �� � � r �Z !� U h V c ✓' �� J— C[ �'i G� !� Cvs-� P� <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> BE IN RACEWAYS, MC OR AC CABLE. p <br /> � 0- � <br /> CIIY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br /> 1 hereby certily(hat 1 havo read and oxemined fhis application and know tho same to bo lrue ond / � , I � I _ D�� <br /> correcf. All provlslons ollaws end ordlnancos govoming fhls type o(n�ork will be completed i [�- <br /> whether speci(Ied horein ornot. Tho granfing o(e pormit does not presuma fo give au(honty to � I � <br /> viole(a or cancel the provisions o7any ofhor sto(e or loco!law regulefing conslruction or fhe <br /> performance o/construcfion. Thaf I am eufhonzed by the owner o/fh�s property lo p�rform(he <br /> �vork(or whlch applicafion is made and 1 comply wifh the Stefe Confractors Law 18.27 RCW and <br /> 296.200�/� <br /> � �/l�— -P�� � � T� � <br /> Signalure� Date <br />