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k �, , .:. <br />� �- ! <br />` �� � .. <br /> I ; °� b'�'��: <br /> tE�' . , <br />` �`#�� ELECTRICAL PERMIT APPLICATION <br />�_ :�,,;i ;'�s <br /> CITY OF EVE �ETT PERMIT SERVICES <br /> 3200 CEDAR �TREET, EVERETT, WA 98201 <br /> 425-257-E810 - FAX 425-257-8857 —www.everettwa.org <br /> APPLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br /> Iii YY^.'� ..G� <br /> � �;� <br /> I �� <br />�� �"� �� � � • � � SI S� j_JT Z�` <br /> I'. �.' : <br /> ,r . PROJECT ADDRESS <br /> �--s D <br /> Owner ' Mail Address Ciry State2ip Phone <br /> Tenant Mail Address City Slate/Zip Phone <br /> e,� ,� N1,���r ��cc (3tia�33�� �r�z <br /> EleClriCal COnUaC�of Mail Address City Stale2ip Phone <br /> i' <br /> �CJ ��1rtiLQ 9�1 /ti' �� <br /> Sta�e License Number Contracl Price of Work <br /> �-S t d-f i1T c` I <br /> Proposed Use of Building Contact Person (Plan Review) <br /> Description of Work lo Be Done: �LUJ ���,4_Q <br /> Fl <br /> NOTE: WIRING IN NON-DWELLINGS IS REQUIREU TO FEE I � <br /> BE IN RACEWAYS, MC OR AC CABLE. '' <br /> ,� <br /> I CITY OF EVERETT LOCAL SALES TAX CODE IS 3105 <br />.:� I hereby certily thaf I have read and examined this applicalion and know fbe same fo be Vue and <br /> correcL All provisions ollaws and ordinances governmg Ih�s type of work will be completed <br /> 4� � whefher s ecilied herein ornoL The rantin o/a ennrt does not resume fo ive authord (o <br /> lf_�. P 9 9 P 9� . l' <br />�•d� violafe or cancel the provisions ol any ofher state or local law reguPting construchon or the <br /> ,� perlormance ol construchon. That 1 am aufhorized by the owner o/Ihis property fo pe�(orm(he <br /> work/or which application is made and 1 comply with(he State Confractors Law 18.27 RCW and <br />�:� z��.�ooW1� � <br /> � , <br /> -� — ` <br /> �i.—= o. s, �s � � <br /> / Signature Date �,, <br /> I <br /> I <br /> � � � � <br /> J � � <br />