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p.1 <br /> � — <br /> I ELECTR.�C/AL PERMIT APPLICATION <br /> CITY OF EVERETT PERMIT SERVICES <br /> 3'L00 CEDAR STREET, EVERETT, WA 98201 <br /> 425-257-8810 - FAX 475-257-8857 -www.everettwa.org , <br /> I <br /> APPLICAT{ONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> �(a� �tS�' St� ��, � I 0�I � <br /> PROJECT ADDRESS � <br /> ' �,��ew ��c�r� i��}.������ �Iz.� �5-� st. � f ���✓�- �X1�3 <br /> I Owncr � �ri�liddress Ciry SL�le2ip Phone <br /> Tenan! Mail Atltlress City Stalr2ip Phone <br /> C�o �1-e�-��� �-�� a� �� s-f s�� �H�� G�Z� <br /> Electrical CoMtador tdail hddress Cily StatcJZry PhIo'ne <br /> I � �� -"l���D���l <br /> �� P"� �UC� 0� b0 �[ �— <br /> State License Number ConVact Pnce of Work <br /> �-�r;�e.��ta�L- G-ls-� ai�nscmn� 2�+.� -�i3-����s <br /> Proposed Use of 0uilding ContaCt Person (Plan Review) <br /> Description of Work lo Be Dme: Cc-{ 'if C{.CP�{MPG'l�- C��`� � ��-� � <br /> � <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO FE�— <br /> BE IN RACEWAYS, MC OR AC CABLE. <br /> CITY OF EVERETT LOCAL SALES TAX CODE IS 3'105 � <br /> 1 hereUy cortily thaf I bavc read and examinod this applir.:�:!inn and know tl�o samc fo bo Gve and r � LY!� ' ' G'(/ <br /> � conect. All prowsicns ot la�vs and adinences goveminy 71�s type of wod;wi0 6e completed � ��7 Q <br /> wheth�rspeciliedhereinornoL 77�og�anhnqolaperm�tdocsnut presume7ogrvcautl�ontyfa <br /> vlolate or cancal the p�ovisions ot any othersfafe o�local law regu/al/ng const�udion or tho <br /> pe rmance olcenstrt/ction. Thal!am au;honzed by(he owner of this prope�tyto pedorm the <br /> � for wliicA application Is made and I compry��vitb the Sfafo Connacton Law 18.27 RCW and <br /> 2 . .00INAC. ^ <br /> � <br /> ♦ � <br /> '�� \ <br /> S,gnalu e Ua e <br /> � <br />