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, _ _ _ _ _ ___- ___ _ _____ ___ _ <br /> ____ __ ___ ___-1 <br /> ELECTRICAL PERMI�' APPLICATION <br /> CITY OF EVERETT PERMIT SEI�VICES <br /> 3200 CEDAR STREET, EVERETT, WA 98201 C�`30 � ► 2- <br /> 425-257-9810 - FAX 425-257-8857 —www.everettwa.org � <br /> � �.zo �"13--7 <br /> APPLICATIONS ARE ACCEP fED FROM 8 AM TO 4 PM <br /> ,.,.�: :� <br /> s ; <br />}}�,. , � I -• �/� ' / <br />� �� <br />''f`"" ` PFOJECTADDRE S <br /> _ � �{ <br />.. ry�.��.:;_�; ,' �.� ' <br /> ���'�,�-`tl ��. <br /> Owner Pdail Address City SlalelZip Phone <br /> Tenanl Mail Address Ciry Slale/Zip Phone <br /> �lq ,� v:z ' � � f��-j�,� P, �, �� �,��ay� s,������< �-1�i , y.��a�3�-G �,� <br /> Electrical Cont acto� Mail Address City StatelZip Phone <br /> /�r�//` � � ��� �� — Coniracl Price of Work <br /> Slate Lice�s Number <br /> Proposed Use of Building Contact Person (Plan Review) <br /> �y�,�c' �r��/�i�ti, r�a S �' (2, <br /> quare Foo �ge(If residential neva consirucUon, remodel or adddion) <br /> � Description �f Work to Be Done: �L�J� t�P �`7 X�L ��' �� �� � ����s� <br /> i <br /> ( I <br /> : NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FEE <br /> i BE IN RACEWAYS, MC OR AC CABLE. ���O <br /> l <br /> ' I CITY OP EVERETT LOCAL SALES TAX CODE IS 3105 —' <br /> 1 he�eby certily that 1 have read and examined Ihis ap�lication and know Ihe same to be true ano � f1 � zy <br /> conect. All pmv�sions ollaws and ordinances govemmg th�s type o(work ci+ll 6e comoleted � 2-� J .-- I ✓ I <br /> whether speci�ed herein ornot. The granting o/a pem�d does notp resume !o give aulhanty fo <br /> violale or cancel the provisians o(any olher sfate arlocallaw regula6ng construction or lhe <br /> per/ormance oI construchon. That I arn au!honzed by Ure o:�mer o(thisp roperty lo pedonn the <br /> wo�k(or which application is made and 1 comply�vdh fhe State Contracfors La�^✓18.27 RCW and <br /> 296.200 WAC. <br /> _ ��tC� /�'�� �"����� <br /> ignature i� Date <br /> .__._ ------- _.....-.....,f,.—.-..,,.. <br /> ._. . . .�.: ..,. .._ .. ..�... .., .,.. � <br /> ��: �0`✓`_ '.�� ;�,., . � . . : i . ,�.. .�. . . Y . " <br /> .�,; .,.. � , . .'_ <br /> r <br /> . _ .. ,. ._ „ p� � '. ,. . � y� . ' ), <br /> .. ' _�__" -. ... . _ . . <br /> _ _ ._y .._ �...�__ _�_ �. _.�_ e._. i <br />